Organization Active NPI

Knguyen Eyecare, PLLC

  • Optometrist
  • Richardson, TX
National Provider Identifier
1033580477
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7755TG Issued in TX
Legal business name
KNGUYEN EYECARE, PLLC
Practice address
4150 E. Renner Rd
Suite 300
Richardson, TX 75082
Phone
(972) 250-0700
NPI assigned
Oct 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Kimuyen NguyenNPI 1235427386
Title
President
Phone
(832) 287-4457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7755TG TX Primary

Addresses

Primary practice location

4150 E. Renner Rd
Suite 300
Richardson, TX 75082

Mailing address

PO Box 793607
Dallas, TX 75379-3607
Phone (832) 287-4457

Other names 1

  • Perception Eyecare & Eyewear Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151216002177 TX Part B Supplier - Clinic/Group Practice 0244531242 Receives reassigned benefits from 3 practitioners
Practice locations: Richardson, TX

National Provider Directory

National Provider Directory

Locations

4150 E Renner Rd
Ste 300
Richardson, TX 75082
Phone (972) 250-0700

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1033580477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 793607",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753793607",
            "telephone_number": "832-287-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 E. RENNER RD",
            "address_2": "SUITE 300",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75082",
            "telephone_number": "972-250-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNGUYEN EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KIMUYEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-287-4457"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7755TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perception Eyecare & Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.