Individual provider Active NPI

Gabrielle C Duong, OD

  • Optometrist
  • Chico, CA
National Provider Identifier
1992484091
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35568 Issued in CA
Practice address
3401 Esplanade
Chico, CA 95973-0207
Phone
(530) 895-1727
Fax
(530) 895-1506
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35568 CA Primary

Addresses

Primary practice location

3401 Esplanade
Chico, CA 95973-0207

Mailing address

3401 Esplanade
Chico, CA 95973-0207
Phone (530) 895-1727

Other practice location 1

940 Belmont St
Brockton, MA 02301-5596
Phone (774) 826-1106

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
I20240724001742 CA Practitioner - Optometry 6406392695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chico Eye Center Medical GroupGroup PAC ID 5597735357, 8 clinicians

Practice addresses (Care Compare)

3401 Esplanade
Chico, CA 95973-0207
Phone (530) 895-1727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35568CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Chico Eye Center Medical Group CurrentSince Aug 15, 2024 Accepting new patients

Locations

3401 Esplanade
Chico, CA 95973
Phone (530) 895-1727

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: gabrielle.duong.p1@direct.chicoeye.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1992484091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959730207",
            "telephone_number": "530-895-1727",
            "fax_number": "530-895-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959730207",
            "telephone_number": "530-895-1727",
            "fax_number": "530-895-1506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Belmont St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023015596",
            "country_code": "US",
            "telephone_number": "774-826-1106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUONG",
        "first_name": "GABRIELLE",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.