Revolution Eyes PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

7415TG Issued in TX

Legal business name

REVOLUTION EYES PLLC

Practice address

27110 Cinco Ranch Blvd.
Ste. 400
Katy, TX 77494

Phone

(281) 394-5222

Fax

(281) 394-5232

NPI assigned

Jan 31, 2012

Organization subpart

No

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

Authorized official

Name

Dr. VI Yen Nguyen, O.D.NPI 1952626236

Title

Optometrist

Phone

(281) 394-5222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• VI Yen Nguyen, O.D.

  • Optometrist
  • Katy, TX
  • NPI 1952626236
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1033481536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27110 CINCO RANCH BLVD.",
            "address_2": "STE. 400",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-394-5222",
            "fax_number": "281-394-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27110 CINCO RANCH BLVD.",
            "address_2": "STE. 400",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-394-5222",
            "fax_number": "281-394-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION EYES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VI",
        "authorized_official_middle_name": "YEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "281-394-5222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7415TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.