Active NPI
Tim Hung Minh Nguyen, O.D., M.P.H.
- Optometrist
- Westminster, CA
National Provider Identifier
1972667079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12458T
- Practice address
- 7841 Westminster Blvd
Westminster, CA 92683-4033 - Phone
- (714) 893-4560
- Fax
- (714) 893-0340
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12458T | CA | Primary |
Addresses
Primary practice location
7841 Westminster Blvd
Westminster, CA 92683-4033
Mailing address
7841 Westminster Blvd
Westminster, CA 92683-4033
Phone (714) 893-4560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GSD004970 | Medicaid | CA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12458T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Eye Care Optometry, Inc. | Optometrist | Current | Accepting new patients |
Locations
7841 Westminster Blvd
Westminster, CA 92683
Phone (714) 893-4560
14072 Magnolia St
Ste 106
Westminster, CA 92683
Phone (714) 741-3937
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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 and National Provider Directory roles.
-
- Optometrist
- Westminster, CA
- NPI 1033307889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573430400000",
"number": "1972667079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7841 WESTMINSTER BLVD",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926834033",
"telephone_number": "714-893-4560",
"fax_number": "714-893-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7841 WESTMINSTER BLVD",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926834033",
"telephone_number": "714-893-4560",
"fax_number": "714-893-0340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TIM",
"middle_name": "HUNG MINH",
"name_prefix": "Dr.",
"credential": "O.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2019-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12458T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GSD004970",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.