Individual provider Active NPI

Linh Nguyen, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1033783329
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10336 Issued in TX
Practice address
710 E Ben White Blvd
Austin, TX 78704-7404
Phone
(409) 549-3676
NPI assigned
May 19, 2021
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10336 TX Primary

Addresses

Primary practice location

710 E Ben White Blvd
Austin, TX 78704-7404

Mailing address

3732 Rachel Ave
Port Arthur, TX 77642-5508

Other practice location 1

3732 Rachel Ave
Port Arthur, TX 77642-5508
Phone (409) 549-3676

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
I20211115000503 TX Practitioner - Optometry 7517356454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
San Gabriel Eye Center PLLCGroup PAC ID 6204269053, 4 clinicians

Practice addresses (Care Compare)

1401 Williams Dr
Georgetown, TX 78628-4115
Phone (512) 863-2078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10336TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
San Gabriel Eye Center PLLC Optometrist CurrentSince Aug 7, 2025 Accepting new patients
Stephen D. Schaefer, O.D., P.a. Optometrist Past Accepting new patients

Locations

1401 Williams Dr
Georgetown, TX 78628
Phone (512) 551-5500

1401 Williams Dr
Ste 101
Georgetown, TX 78628
Phone (512) 863-2078

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1033783329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 RACHEL AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776425508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E BEN WHITE BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047404",
            "telephone_number": "409-549-3676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3732 Rachel Ave",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "776425508",
            "country_code": "US",
            "telephone_number": "409-549-3676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LINH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.