EYE SMART OPTOMETRY INC
NPI 1508100389
Optometrist in Westminster, CA

Active since November 19, 2012
9200 BOLSA AVE, #119A, WESTMINSTER, CA 92683(714) 786-8468(714) 786-8467 Get Directions Write a Review

NPPES record last updated: September 13, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Eye Smart Optometry Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE SMART OPTOMETRY INC (NPI 1508100389) is a healthcare organization registered as an optometrist in Westminster, California and active in the NPI registry since November 2012. The organization lists Andrian Leon Nguyen, Owner, as its authorized official.

NPPES Registry Identity

NPI1508100389
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEYE SMART OPTOMETRY INC
Location Address9200 BOLSA AVE, #119AWestminster, CA 92683-5500
Mailing Address9200 Bolsa Ave, #119aWestminster, CA 92683-5500 · (714) 786-8468 · Fax (714) 786-8467
Fax(714) 786-8467
Organization SubpartNo
Authorized OfficialAndrian Leon NguyenOwner · (714) 786-8468
Enumeration DateNovember 19, 2012
Last NPPES UpdateSeptember 13, 2013
✔ NPI 1508100389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 13115
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
9200 BOLSA AVE, Westminster, CA 92683

Other Identifiers 1

Medicare PINGU248ZCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eye Smart Optometry Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20121217000304Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eye Smart Optometry Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1497808208
9200 BOLSA AVE #119A
Westminster, CA 92683
(714) 786-8468
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Eye Smart Optometry Inc's NPI number?

The NPI number for Eye Smart Optometry Inc is 1508100389. It was assigned to this organization in the NPPES registry on November 19, 2012.

Where is Eye Smart Optometry Inc located?

Eye Smart Optometry Inc is located at 9200 Bolsa Ave #119a, Westminster, CA 92683. The listed phone number is (714) 786-8468.

What is Eye Smart Optometry Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Eye Smart Optometry Inc enrolled in Medicare?

Yes. Eye Smart Optometry Inc is registered in the Medicare PECOS enrollment system.

When is Eye Smart Optometry Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Eye Smart Optometry Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Eye Smart Optometry Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Eye Smart Optometry Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Eye Smart Optometry Inc 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 Eye Smart Optometry Inc was last updated on September 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.