Active NPI
Trang Nguyen, OD, PA
- Optometrist
- Balch Springs, TX
National Provider Identifier
1053609255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6140T
- Legal business name
- TRANG NGUYEN, OD, PA
- Practice address
- 12300 Lake June Rd
Balch Springs, TX 75180-1636 - Phone
- (972) 913-0595
- NPI assigned
- Jul 21, 2011
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Trang Nguyen, O.D.
- Title
- President
- Phone
- (214) 718-6394
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Garland, TX
- NPI 1710250337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050216000303 | TX | Part B Supplier - Clinic/Group Practice | 7113979311 |
Receives reassigned benefits from 1 practitioner Practice locations: Balch Springs, TX; Garland, TX; Seagoville, TX |
National Provider Directory
National Provider DirectoryLocations
12300 Lake June Rd
Mesquite, TX 75180
Phone (972) 286-0180
220 N Highway 175
#I75
Seagoville, TX 75159
Phone (972) 287-5533
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6140T | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
12300 Lake June Rd
Balch Springs, TX 75180-1636
Mailing address
1517 Hill Creek Dr
Garland, TX 75043-7591
Phone (214) 718-6394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2011.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311206400000",
"number": "1053609255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 HILL CREEK DR",
"city": "GARLAND",
"state": "TX",
"postal_code": "750437591",
"telephone_number": "214-718-6394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 LAKE JUNE RD",
"city": "BALCH SPRINGS",
"state": "TX",
"postal_code": "751801636",
"telephone_number": "972-913-0595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANG NGUYEN, OD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-21",
"last_updated": "2011-07-21",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "TRANG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-718-6394",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "6140T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Balch Springs, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.