Active NPI
Nicholas Oudompradith
- Optometrist
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11401TG
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11401 | TX | MD | Chiropractor |
| 11401TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | 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.
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- Optometrist
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- Optometrist
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- NPI 1366066466
-
- Optometrist
- Longview, TX
- NPI 1487290441
-
- Optometrist
- San Marcos, TX
- NPI 1730714114
-
- Optometrist
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- NPI 1871059170
-
- Optometrist
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- NPI 1871132761
-
- Optometrist
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- NPI 1124588405
-
- Optometrist
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- NPI 1336605633
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- Optometrist
- Magnolia, AR
- NPI 1093271397
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- Optometrist
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- NPI 1124798160
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- Optometrist
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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
- Rebecca E Oteng-Mensah, PMHNP
- Denice Otero
- Hazem Othman
- Tracie Ottman, MA, LPCA
- Julienne Patrice Ouano, PT, DPT
- Our Light Chiropractic LLC
- Outreach Health Community Care Services
- Outreach Health Community Care Services
- Outreach Health Community Care Services LP
- Outreach Health Community Care Services LP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.