ANTHONY NGUYEN (O.D.) – Optometrist, NPI 1114357597

ANTHONY NGUYEN (O.D.) is a healthcare provider. based in Patterson, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 8327T (TX). The NPI Number for ANTHONY NGUYEN (O.D.) is 1114357597

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY NGUYEN (O.D.)
NPI
1114357597
Phone
(209) 895-4900
Address
210 N EL CIRCULO AVE
Enumeration Date
20 November 2013
Last Update Date
27 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9164077156
Graduation Year
2013 (13 years ago)
PAC ID
5799909321
Group Practice PAC ID
6002216488
Professional Enrollment ID
I20210615001598
Address ID
CA952192361ST3133XLNXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:12State licenses:2Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for ANTHONY NGUYEN (O.D.)

  • 210 N EL CIRCULO AVE

    PATTERSON, CA 953632521

    Phone: (209) 895-4900

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $102.

Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.

Last reported payment date: 2024-08-01 • Largest payer in this snapshot: CooperVision Inc. ($88).

Total Amount

$102

General + Research + Ownership

Payments

3

Total payment records

General Amount

$102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-06-15

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
I20210615001598IOptometryCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system2525$0
92004New patient complete exam of visual system1515$0
View full utilization report →

Insurance plans in this area (ZIP 95363)

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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: 6002216488View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YOH
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA

Reviews

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Frequently asked questions

What number should I use to identify ANTHONY NGUYEN (O.D.) for billing?
Administrative and clinical systems typically use NPI 1114357597 for ANTHONY NGUYEN (O.D.).
Is ANTHONY NGUYEN (O.D.)'s NPI status active today?
Active status means ANTHONY NGUYEN (O.D.)'s NPI record is not deactivated in the public file.
What services align with ANTHONY NGUYEN (O.D.)'s listing?
ANTHONY NGUYEN (O.D.)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to ANTHONY NGUYEN (O.D.)?
ANTHONY NGUYEN (O.D.) shows a connection to Patterson, California in registry-derived data.
Who maintains ANTHONY NGUYEN (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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