Organization Active NPI

Trang Nguyen, OD, PA

  • Optometrist
  • Balch Springs, TX
National Provider Identifier
1053609255
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6140T Issued in TX
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.NPI 1720257876
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.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6140T TX Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.