Individual provider Active NPI

Vivian Dinh

  • Optometrist
  • Berkeley, CA
National Provider Identifier
1952280661
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT36102-TLG Issued in CA
Practice address
380 Minor Hall
Berkeley, CA 94720-2021
Phone
(510) 642-2020
NPI assigned
Aug 27, 2025
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT36102-TLG CA Primary

Addresses

Primary practice location

380 Minor Hall
Berkeley, CA 94720-2021

Mailing address

380 Minor Hall
Berkeley, CA 94720-2021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251112002572 CA Practitioner - Optometry 9931690419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blink Optometry, a Professional CorporationGroup PAC ID 0648226993, 2 clinicians

Practice addresses (Care Compare)

22972 Moulton Pkwy
Suite 104
Laguna Hills, CA 92653-1219
Phone (949) 581-8222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT36102-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blink Optometry, a Professional Corporation Optometrist CurrentSince Nov 1, 2025 Accepting new patients

Locations

22972 Moulton Pkwy
Ste 104
Laguna Hills, CA 92653
Phone (949) 581-8222

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1952280661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 MINOR HALL",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947202021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 MINOR HALL",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947202021",
            "telephone_number": "510-642-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINH",
        "first_name": "VIVIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT36102-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.