Healthcare Provider Details

I. General information

NPI: 1528994928
Provider Name (Legal Business Name): NEWTON NGUYEN, OD, PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1213 PLEASANT GROVE BLVD # 100
ROSEVILLE CA
95678-6989
US

IV. Provider business mailing address

1213 PLEASANT GROVE BLVD # 100
ROSEVILLE CA
95678-6989
US

V. Phone/Fax

Practice location:
  • Phone: 916-789-1959
  • Fax:
Mailing address:
  • Phone: 916-789-1959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. NEWTON NGUYEN
Title or Position: OPTOMETRIST/CEO
Credential: OD
Phone: 408-772-9569