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DR. PHONG QUOC NGUYEN O.D. NPI 1710972195


NPI Information

NPI: 1710972195
Provider Name: DR. PHONG QUOC NGUYEN, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2402 S AZUSA AVE
WEST COVINA, CA
ZIP 91792
Phone: (626) 810-4535
Get Directions

DR. Phong Quoc Nguyen, O.D. is an optometrist in West Covina, CA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Phong Quoc Nguyen, O.D. NPI is 1710972195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2402 S AZUSA AVE
WEST COVINA, CA
ZIP 91792-512
Phone: (626) 810-4535
Fax: (626) 810-7371

The NPI 1710972195 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 9/13/2005 and was last updated on 11/24/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist11932TCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1202830204OTHERCALIFORNIANVA
2261324273OTHERCALIFORNIAMARCH VISION
3261324273OTHERSUPERIOR VISION
4BQ760ZMEDICARE UPINCALIFORNIA
5SD0119320MEDICAIDCALIFORNIA
6BQ760ZMEDICARE PINCALIFORNIA
7204344OTHERCALIFORNIAEYEMED
8P041517OTHERCALIFORNIASPECTERA
96268104535OTHERCALIFORNIABLUE SHIELD OF CALIFORNIA
10V08883MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.