Active NPI
Loren Nguyen
- Optometrist
- Nederland, TX
National Provider Identifier
1053415687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4850T
- Practice address
- 3624 Highway 365
Nederland, TX 77627-7835 - Phone
- (409) 724-7700
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- 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 | 4850T | TX | Primary |
Addresses
Primary practice location
3624 Highway 365
Nederland, TX 77627-7835
Mailing address
12525 Interstate 10 E
Orange, TX 77630-1347
Phone (409) 724-7700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038186502 | Medicaid | TX | |
| 0077FA | Other | TX | BLUE CROSS BLUE SHIELD |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4850T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transcendent Eye Care PLLC | Optometrist | Current | Accepting new patients |
| Mid County Vision Insights, PLLC | Optometrist | Current | Accepting new patients |
Locations
3624 Highway 365
Nederland, TX 77627
Phone (409) 724-7700
8815 Memorial Blvd
Ste B
Port Arthur, TX 77640
Phone (409) 724-7700
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 and National Provider Directory roles.
-
- Optometrist
- Nederland, TX
- NPI 1750617544
-
- Optometrist
- Port Arthur, TX
- NPI 1245002674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261353600000",
"number": "1053415687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12525 INTERSTATE 10 E",
"city": "ORANGE",
"state": "TX",
"postal_code": "776301347",
"telephone_number": "409-724-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3624 HIGHWAY 365",
"city": "NEDERLAND",
"state": "TX",
"postal_code": "776277835",
"telephone_number": "409-724-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LOREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2009-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "4850T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038186502",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0077FA",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nederland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.