Individual provider Active NPI

Khoi-Nguyen Dinh Nguyen, O.D.

  • Optometrist
  • Galveston, TX
National Provider Identifier
1013205491
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7747TG Issued in TX
Practice address
6702 Seawall Blvd Ste a
Galveston, TX 77551-9001
Phone
(409) 744-4600
Fax
(409) 744-4601
NPI assigned
Jul 19, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7747TG TX Primary

Addresses

Primary practice location

6702 Seawall Blvd Ste a
Galveston, TX 77551-9001

Mailing address

1307 Creekford Cir
Sugar Land, TX 77478-3966
Phone (617) 921-3378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111116000030 TX Practitioner - Optometry 9739353483 Practice locations: Galveston, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6702 Seawall Blvd
Suite a
Galveston, TX 77551-9001
Phone (409) 744-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7747TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarumba Vision Optometrist CurrentSince Jan 1, 2012 Accepting new patients
Harton Family Eyecare Optometrist Past Accepting new patients

Locations

6702 Seawall Blvd
Ste A
Galveston, TX 77551
Phone (409) 316-0595

Networks

  • NM HMO C-SNP
  • TX HMO D-SNP
  • TX HMO

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1013205491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 CREEKFORD CIR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783966",
            "telephone_number": "617-921-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 SEAWALL BLVD STE A",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775519001",
            "telephone_number": "409-744-4600",
            "fax_number": "409-744-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHOI-NGUYEN",
        "middle_name": "DINH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7747TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.