Organization Active NPI

Mylene H. Nguyen, OD, Inc.

  • Optometrist
  • Oxnard, CA
National Provider Identifier
1982093662
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13355 Issued in CA
Legal business name
MYLENE H. NGUYEN, OD, INC.
Practice address
2001 N Rose Ave
Oxnard, CA 93036-2681
Phone
(805) 983-2568
NPI assigned
Jan 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Mylene H Nguyen, ODNPI 1689874174
Title
President
Phone
(805) 983-2568

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13355 CA Primary

Addresses

Primary practice location

2001 N Rose Ave
Oxnard, CA 93036-2681

Mailing address

2001 N Rose Ave
Oxnard, CA 93036-2681

Other names 1

  • Arcadia Vision, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190321000538 CA Part B Supplier - Clinic/Group Practice 1658611017 Receives reassigned benefits from 1 practitioner
Practice locations: Oxnard, CA

National Provider Directory

National Provider Directory

Locations

2001 N Rose Ave
Oxnard, CA 93036
Phone (805) 981-9606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1982093662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N ROSE AVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N ROSE AVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362681",
            "telephone_number": "805-983-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYLENE H. NGUYEN, OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-17",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MYLENE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-983-2568",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arcadia Vision, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.