Individual provider Active NPI

Nicholas Oudompradith

  • Optometrist
  • Richardson, TX
National Provider Identifier
1013700707
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11401TG Issued in TX
Practice address
2000 N Plano Rd Ste 111
Richardson, TX 75082-4402
Phone
(972) 234-3937
NPI assigned
May 26, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11401TG TX Primary

Addresses

Primary practice location

2000 N Plano Rd Ste 111
Richardson, TX 75082-4402

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20250626003173 TX Practitioner - Optometry 3072025766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

12457 Timberland Blvd
Suite 201
Fort Worth, TX 76244-5211
Phone (817) 741-4177

1500 Commons Cir
Suite 200
Northlake, TX 76226-2717
Phone (940) 382-2020

2000 N Plano Rd
Suite 111
Richardson, TX 75082-4402
Phone (972) 234-3937

3032 N Eastman Rd
Suite 100
Longview, TX 75605-5024
Phone (903) 663-2020

6036 Sherry LN
Dallas, TX 75225-6401
Phone (214) 361-1300

6446 Lyndon B Johnson Fwy
Dallas, TX 75240-6407
Phone (972) 960-2020

8329 Whitley Rd
Watauga, TX 76148-2483
Phone (817) 431-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11401TXMDChiropractor
11401TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

11645 Angus Rd
Ste 5
Austin, TX 78759
Phone (512) 345-5641

6725 Delaware St
Beaumont, TX 77706
Phone (409) 832-9151

2810 E Trinity Mills Rd
Ste 173
Carrollton, TX 75006
Phone (972) 416-1270

3012 E Hebron Pkwy
Ste 100
Carrollton, TX 75010
Phone (972) 307-5000

6036 Sherry Ln
Dallas, TX 75225
Phone (214) 361-1300

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

5495 Belt Line Rd
Ste 160
Dallas, TX 75254
Phone (972) 980-1773

5560 W Lovers Ln
Ste 240
Dallas, TX 75209
Phone (469) 772-9700

12457 Timberland Blvd
Ste 201
Fort Worth, TX 76244
Phone (817) 741-4177

5224 S State Highway 360
Ste 200
Grand Prairie, TX 75052
Phone (972) 602-4545

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

3032 N Eastman Rd
Ste 100
Longview, TX 75605
Phone (903) 663-2020

231 E FM 544
Ste 707
Murphy, TX 75094
Phone (972) 424-2211

3405 Midway Rd
Ste 421
Plano, TX 75093
Phone (972) 801-2727

2000 N Plano Rd
Ste 111
Richardson, TX 75082
Phone (972) 234-3937

1090 W Campbell Rd
Ste 100
Richardson, TX 75080
Phone (972) 231-9595

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1013700707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N PLANO RD STE 111",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824402",
            "telephone_number": "972-234-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUDOMPRADITH",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11401TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.