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Prospective Vision Optometric Corp

NPI 1639745821ActiveOrganization· Optometrist· Long Beach, CA

Optometrist in Long Beach, California, registered in NPPES in May 2021. The authorized official on file is Jenny Nguyen, OD, President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1639745821
StatusActive
Entity typeOrganization
NPI issuedMay 28, 2021
Last updated in NPPESJun 30, 2023
Certified by providerJun 30, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (CA)

Medicare sources and data years

Other optometrists in Long Beach

All 118 optometrists in Long Beach · All optometrists in California