Jacqueline Ha Nguyen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5483TG Issued in TX

Practice address

1816 Broadway St
Suite 106
Pearland, TX 77581-5664

Phone

(281) 992-3937

Fax

(281) 992-3899

NPI assigned

Feb 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KJJ Vision PLLCGroup PAC ID 9032474796, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• KJJ Vision PLLC

  • Optometrist
  • Pearland, TX
  • NPI 1639676737
  Medicare reassignment Care Compare group NPD Authorized official
• Charles Shidlofsky O.D., P.a.

  • Optometrist
  • Plano, TX
  • NPI 1386833192
  Medicare reassignment NPD

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023145497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 BROADWAY ST",
            "address_2": "SUITE 106",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815664",
            "telephone_number": "281-992-3937",
            "fax_number": "281-992-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 BROADWAY ST",
            "address_2": "SUITE 106",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815664",
            "telephone_number": "281-992-3937",
            "fax_number": "281-992-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JACQUELINE",
        "middle_name": "HA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5483TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny H Nguyen, PHARMD
• Dinh Vinh Nguyen, D.C.
• Dung Thi Nguyen, PHARMACIST
• Giang Dinh Nguyen, DMD
• Hanh Nguyen
• Jocelyn Nguyen, DNP, FNP-C
• Joseph Quyet Nguyen, OD
• Kenny Nguyen, PT, DPT
• Kim Nguyen
• Linh Hoang Phuong Nguyen, RPH

• Optometrist in Pearland, TX
• Providers in Pearland, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.