KEVIN NGUYEN OD
NPI 1457081424
Optometrist in Roseville, CA
About Kevin Nguyen Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN NGUYEN OD (NPI 1457081424) is an individual optometrist in Roseville, California, licensed in California (35328) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kevin Nguyen Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kevin Nguyen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roseville, CA 95661
- Reassigned Medicare billing, California enrollment
- 2 clinicians in this Medicare group
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEVILLE, CA 95661
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kevin Nguyen's NPI number?
The NPI number for Kevin Nguyen is 1457081424. It was assigned to this individual provider in the NPPES registry on June 13, 2022.
Where is Kevin Nguyen located?
Kevin Nguyen practices at 576 N Sunrise Ave, Roseville, CA 95661. The listed phone number is (916) 773-3937.
What is Kevin Nguyen's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kevin Nguyen enrolled in Medicare?
Yes. Kevin Nguyen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kevin Nguyen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Nguyen reassigns Medicare benefits to 2 organizations: Roseville Optometry (Roseville, CA) and Permanente Medical Group Inc (Stockton, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kevin Nguyen accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Providence Health Plan list Kevin Nguyen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kevin Nguyen was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kevin Nguyen, OD · NPI 1457081424
Optometrist provider in Roseville, California. Individual provider, active in the CMS NPPES registry since June 13, 2022.
## Identity
- **NPI:** 1457081424 (Entity type: Individual)
- **Enumerated:** June 13, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 35328 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 576 N SUNRISE AVE, Roseville, CA 95661-2841
- **Phone:** (916) 773-3937
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Roseville Optometry (NPI 1750663787, Roseville, CA); Permanente Medical Group Inc (NPI 1548343510, Stockton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457081424) · Data from the CMS NPPES public registry.