NPIMap

Organization Active NPI

Victory Lakes Eye Associates

  • Optometrist
  • League City, TX
National Provider Identifier
1003169269
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7414TG Issued in TX
Legal business name
VICTORY LAKES EYE ASSOCIATES
Practice address
2910 Gulf Fwy S
Suite F-2
League City, TX 77573-6790
Phone
(281) 337-1081
NPI assigned
Oct 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tina Nguyen, O.D.NPI 1982911566
Title
President
Phone
(713) 819-4149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7414TG TX Primary

Addresses

Primary practice location

2910 Gulf Fwy S
Suite F-2
League City, TX 77573-6790

Mailing address

2910 Gulf Fwy S
Suite F-2
League City, TX 77573-6790
Phone (281) 337-1081

National Provider Directory

National Provider Directory

Locations

2910 Gulf Fwy S
Ste F2
League City, TX 77573
Phone (281) 337-1081

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1003169269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 GULF FWY S",
            "address_2": "SUITE F-2",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736790",
            "telephone_number": "281-337-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 GULF FWY S",
            "address_2": "SUITE F-2",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736790",
            "telephone_number": "281-337-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY LAKES EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-819-4149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7414TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.