Active NPI
Son Quang Nguyen, O.D.
- Optometrist
- Compton, CA
National Provider Identifier
1962536649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11835TLG
- Practice address
- 318 E Compton Blvd
Compton, CA 90221-3206 - Phone
- (310) 631-3660
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | 11835T | CA | |
| Optometrist | 152W00000X | 11835TLG | CA | Primary |
Addresses
Primary practice location
318 E Compton Blvd
Compton, CA 90221-3206
Mailing address
318 E Compton Blvd
Compton, CA 90221-3206
Phone (310) 631-3660
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
318 E Compton Blvd
Compton, CA 90221-3206
Phone (310) 631-3660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11835TLG | CA | MD | Optometrist |
| 11835T | CA | MD | Low Vision Rehabilitation Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compton Eyecare Optometry Inc | Optometrist | Current | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
318 E Compton Blvd
Compton, CA 90221
Phone (310) 631-3660
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Compton, CA
- NPI 1538737382
-
- Optometrist
- Compton, CA
- NPI 1811969884
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1962536649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 E COMPTON BLVD",
"city": "COMPTON",
"state": "CA",
"postal_code": "902213206",
"telephone_number": "310-631-3660",
"fax_number": "310-631-9264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 E COMPTON BLVD",
"city": "COMPTON",
"state": "CA",
"postal_code": "902213206",
"telephone_number": "310-631-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "SON",
"middle_name": "QUANG",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "CA",
"license": "11835T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11835TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Compton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.