NGUYEN QUACH OD A PROFESSIONAL CORPORATION (NPI# 1558768374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558768374 |
| Entity Type | Organization |
| Organization Name | NGUYEN QUACH OD A PROFESSIONAL CORPORATION |
| Practice Address |
1880 Prairie City Rd Ste 130 Folsom CA 95630-9593 |
| Practice Telephone | 9169857848 |
| Practice Fax Number | 8887895412 |
| Mailing Telephone | 9169857848 |
| Mailing Fax Number | 8887895412 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2016-02-02 |
| Authorized Official Name | DR. NGUYEN HUNG QUACH (CEO / PRESIDENT) |
| Authorized Official Telephone | 5307234005 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WS0006X |
Optometrist Specialization: Sports Vision |
13774 | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NGUYEN QUACH OD A PROFESSIONAL CORPORATION | 1558768374 | 01 |
| Street Address |
1880 PRAIRIE CITY RD STE 130 |
| City | FOLSOM |
| State | CA |
| Zip Code | 95630-9593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609007533 | Nguyen Hung Quach | Optometrist | 1880 Prairie City Rd, Suite 130, Folsom, CA 95630-9593 | 2009-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724657 | Corrections and Rehabilitation | Pharmacy | 570 E. Natoma Street, Folsom, CA 95630 | 2020-03-12 |
| 1174153027 | Haley Harmon | Nurse Practitioner | 1621 Creekside Dr. Creekside Ob/gyn, Ste. 102, Folsom, CA 95630 | 2020-01-20 |
| 1932741469 | Ruma Ramani Jolly | Speech-Language Pathologist | 250 Mc Adoo Drive, Willow Springs, Apt.911, Folsom, CA 95630 | 2019-10-16 |
| 1750844767 | Sharon Munyaanyi | Registered Nurse | 1600 Creekside Dr Ste 3700, Folsom, CA 95630 | 2019-04-08 |
| 1104308345 | Stephanie Whatley | Optometrist | 2390 E Bidwell St Ste 400, Folsom, CA 95630 | 2018-09-04 |
| 1447746607 | Heather Michellee Thrapp | Behavioral Analyst | 125 Oak Ravine Way, Folsom, CA 95630 | 2018-07-10 |
| 1700370483 | Loretta May Delgado | Behavior Technician | 322 Crow Cany, Folsom, CA 95630 | 2018-06-18 |
| 1417448176 | Sound Support Inc. | Hearing Instrument Specialist | 610 East Bidwell Street, Suite A, Folsom, CA 95630 | 2018-05-29 |
| 1548750144 | Don Peterson Md, Sugical Assisting | General Practice | Mercy Hospital of Folsom (dignity Health Folsom), 1650 Creekside Dr., Folsom, CA 95630 | 2018-05-18 |
| 1245733328 | American Heritage Hospice Inc | Hospice Care, Community Based | 1837 Iron Point Rd Ste 180, Folsom, CA 95630 | 2018-03-14 |
| Find all providers in zip 95630 | ||||
| Taxonomy Code | 152WS0006X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Sports Vision |
| An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement - which may include vision therapy and techniques to improve visual skills specific to the athlete’s sport. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497886816 | Andrew Bock | Optometrist | 5100 E Montclair Plaza Ln, Montclair, CA 91763-1528 | 2007-03-08 |
| 1083762512 | Burton E Worrell | Optometrist | 545 Meridian Ave Ste G, San Jose, CA 95126-3451 | 2007-01-08 |
| 1396811972 | Dennis T Hamamura | Optometrist | 1130 Beaumont Ave, Beaumont, CA 92223-1810 | 2006-11-27 |
| 1841812716 | Dr. Gary D. Polan, Od | Optometrist | 970 Monument St Ste 102, Pacific Palisades, CA 90272-3860 | 2020-05-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.