Organization Active NPI

Bao-Tran Nguyen O.D P.a.

  • Optometrist
  • Houston, TX
National Provider Identifier
1063691418
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6235 Issued in TX
Legal business name
BAO-TRAN NGUYEN O.D P.A.
Practice address
455 Greenspoint Mall
Houston, TX 77060-1815
Phone
(281) 248-4565
Fax
(281) 248-4472
NPI assigned
Nov 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Dr. Bao-Tran Dinh Nguyen, O.D.NPI 1629114798
Title
President
Phone
(281) 248-4565

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 6235 TX Primary

Addresses

Primary practice location

455 Greenspoint Mall
Houston, TX 77060-1815

Mailing address

455 Greenspoint Mall
Houston, TX 77060-1815
Phone (281) 248-4565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071120000540 TX Part B Supplier - Clinic/Group Practice 5890883177 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

6887 Highway 6 N
Ste 700B
Houston, TX 77084
Phone (281) 861-8223

6887 Highway 6 N
#700B
Houston, TX 77084
Phone (281) 861-8223

455 Greenspoint Mall
Houston, TX 77060
Phone (281) 248-4565

Practitioners & affiliated clinicians

Practitioners 1

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": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1063691418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 GREENSPOINT MALL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770601815",
            "telephone_number": "281-248-4565",
            "fax_number": "281-248-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 GREENSPOINT MALL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770601815",
            "telephone_number": "281-248-4565",
            "fax_number": "281-248-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAO-TRAN NGUYEN O.D P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "BAO-TRAN",
        "authorized_official_middle_name": "DINH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-248-4565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.