Individual provider Active NPI

Leinah Nguyen, O.D.

  • Optometrist
  • Garden Grove, CA
National Provider Identifier
1962805168
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15132 Issued in CA
Practice address
13079 Harbor Blvd
Garden Grove, CA 92843-1739
Phone
(714) 620-1512
Fax
(714) 741-3904
NPI assigned
Oct 1, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15132 CA Primary

Addresses

Primary practice location

13079 Harbor Blvd
Garden Grove, CA 92843-1739

Mailing address

6731 Westminster Blvd
Ste 102
Westminster, CA 92683-3792
Phone (714) 620-1512

Other practice location 1

13916 Brookhurst St., Suite F
Garden Grove, CA 92843-4331
Phone (714) 530-4167

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
I20150922001953 CA Practitioner - Optometry 4587971643 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Leinah Nguyen OD Inc Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Hansra Optometric Corporation CurrentSince Jan 23, 2024 Accepting new patients
Tedder Optometric Corporation, PC Optometrist CurrentSince Jan 23, 2024 Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

825 E Bidwell St
Ste 100
Folsom, CA 95630
Phone (279) 202-1202

23625 El Toro Rd
Ste E
Lake Forest, CA 92630
Phone (949) 227-2524

1208 Galleria Blvd
Ste 160
Roseville, CA 95678
Phone (279) 214-0170

16481 Magnolia St
Westminster, CA 92683
Phone (714) 848-0028

Organizations & group practices 4

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": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962805168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6731 WESTMINSTER BLVD",
            "address_2": "STE 102",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833792",
            "telephone_number": "714-620-1512",
            "fax_number": "714-741-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13079 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431739",
            "telephone_number": "714-620-1512",
            "fax_number": "714-741-3904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13916 Brookhurst St., Suite F",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928434331",
            "country_code": "US",
            "telephone_number": "714-530-4167",
            "fax_number": "714-530-4260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LEINAH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.