DR. CINDY NGUYEN KOO (OD) – Optometrist, NPI 1023905882

DR. CINDY NGUYEN KOO (OD) is a healthcare provider. based in Sacramento, California. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 35993 (CA). The NPI Number for DR. CINDY NGUYEN KOO (OD) is 1023905882

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
DR. CINDY NGUYEN KOO (OD)
NPI
1023905882
Phone
(916) 649-1515
Address
1515 RESPONSE RD
Enumeration Date
23 June 2025
Last Update Date
17 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Secondary Phone
9166491515
Graduation Year
2025 (1 year ago)
PAC ID
6406356872
Group Practice PAC ID
5597710319
Professional Enrollment ID
I20250821001831
Address ID
CA958154805SA1515XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for DR. CINDY NGUYEN KOO (OD)

  • 1515 RESPONSE RD

    SACRAMENTO, CA 958154805

    Phone: (916) 649-1515

    Fax: (916) 649-1516

    Type: Mailing

  • 2295 Fieldstone Dr Ste 140

    Lincoln, CA 956488807

    Phone: (916) 649-1515

    Fax: (916) 649-1516

    Type: Location

  • 1615 Creekside Dr Ste 110

    Folsom, CA 956303491

    Phone: (916) 649-1515

    Fax: (916) 649-1516

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250821001831IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95815)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597710319View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P H T H A L M O L O G YCA
-CA
-CA
O P T O M E T R YCA
O P H T H A L M O L O G YCA
O P T O M E T R YCA
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA

Reviews

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Frequently asked questions

How is DR. CINDY NGUYEN KOO (OD) identified in CMS data?
CMS-hosted NPPES data lists DR. CINDY NGUYEN KOO (OD) with NPI 1023905882.
Is DR. CINDY NGUYEN KOO (OD) listed as active for patients and plans?
The listing shows DR. CINDY NGUYEN KOO (OD) as active in the NPI system.
What healthcare role does DR. CINDY NGUYEN KOO (OD) hold?
Scheduling teams often label DR. CINDY NGUYEN KOO (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. CINDY NGUYEN KOO (OD) based?
DR. CINDY NGUYEN KOO (OD) is tied to Sacramento, California in the data we show; additional addresses may exist on the full record.
Is the information about DR. CINDY NGUYEN KOO (OD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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