NPIMap

Organization Active NPI

Tracy Ngo OD, Inc.

  • Optometrist
  • Menifee, CA
National Provider Identifier
1982271565
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TRACY NGO OD, INC.
Practice address
30340 Haun Rd
Menifee, CA 92584-6806
Phone
(951) 723-1224
Fax
(951) 723-1221
NPI assigned
Jun 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Dr. Tracy Yen-Khanh Ngo, ODNPI 1558525980
Title
Optometrist/Business Owner
Phone
(954) 662-1171

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 Primary

Addresses

Primary practice location

30340 Haun Rd
Menifee, CA 92584-6806

Mailing address

39864 Sweetbrier Cir
Temecula, CA 92591-6160
Phone (954) 662-1171

National Provider Directory

National Provider Directory

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": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1982271565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39864 SWEETBRIER CIR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916160",
            "telephone_number": "954-662-1171",
            "fax_number": "951-723-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30340 HAUN RD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925846806",
            "telephone_number": "951-723-1224",
            "fax_number": "951-723-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY NGO OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "YEN-KHANH",
        "authorized_official_title_or_position": "OPTOMETRIST/BUSINESS OWNER",
        "authorized_official_telephone_number": "954-662-1171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.