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NICOLE-NINCHO PHU HA O.D.
NPI 1609992940
Optometrist in Riverside, CA

Active since March 21, 2007
100/100
CMS Quality Rating
4605 BROCKTON AVE, SUITE 100, RIVERSIDE, CA 92506(951) 686-4911(951) 686-9409 Get Directions Write a Review

NPPES record last updated: February 2, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicole-nincho Phu Ha O.d. NPPES

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

NICOLE-NINCHO PHU HA O.D. (NPI 1609992940) is an individual optometrist in Riverside, California, licensed in California (OPT 10694T) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1609992940
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameNICOLE-NINCHO PHU HACredential: O.D.
Location Address4605 BROCKTON AVE, SUITE 100Riverside, CA 92506-0106
Mailing Address4605 Brockton Ave, Suite 100Riverside, CA 92506-0106 · (951) 686-4911 · Fax (951) 686-9409
Phone(951) 686-4911
Fax(951) 686-9409
Sole ProprietorNo
Enumeration DateMarch 21, 2007
Last NPPES UpdateFebruary 2, 2009
✔ NPI 1609992940 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 · OPT 10694T
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.

4605 BROCKTON AVE, Riverside, CA 92506
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINU65927CA
OtherOPT 10694TCA · State License
MedicaidSD0106940CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
50 services50 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAY ROGERS GLENDRANGE M.D.
Ophthalmology
4605 BROCKTON AVE, SUITE 100
RIVERSIDE, CA 92506
Riverside County (951) 686-4911
JOHN J ALLAVIE M.D.
Ophthalmology
4605 BROCKTON AVE, SUITE 100
RIVERSIDE, CA 92506
Riverside County (951) 686-4911
DR. BEN J. CHILDERS M.D.
Specialist
4605 BROCKTON AVE, SUITE 200
RIVERSIDE, CA 92506
Riverside County (951) 781-4366
RIVERSIDE PLASTIC SURGERY ASSOCIATES INC.
Specialist
4605 BROCKTON AVE, SUITE 200
RIVERSIDE, CA 92506
Riverside County (951) 781-4339
RIVERSIDE EYE SPECIALISTS MEDICAL GROUP INC.
Ophthalmology
4605 BROCKTON AVE, SUITE 100
RIVERSIDE, CA 92506
Riverside County (951) 686-4911

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 Nicole-nincho Ha's NPI number?

The NPI number for Nicole-nincho Ha is 1609992940. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Nicole-nincho Ha located?

Nicole-nincho Ha practices at 4605 Brockton Ave Suite 100, Riverside, CA 92506. The listed phone number is (951) 686-4911.

What is Nicole-nincho Ha's specialty?

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

What insurance does Nicole-nincho Ha accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Nicole-nincho Ha 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 Nicole-nincho Ha was last updated on February 2, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.