Individual provider Active NPI

Y Dau Nhu Phung, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1063934180
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008650-1 Issued in NY
Practice address
1020 Willowbrook Mall # 1020
Houston, TX 77070-5788
Phone
(281) 894-5300
Fax
(281) 894-5393
NPI assigned
Jul 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9893T TX
Optometrist 152W00000X TUV008650-1 NY Primary

Addresses

Primary practice location

1020 Willowbrook Mall # 1020
Houston, TX 77070-5788

Mailing address

11704 Jamaica Ave
Richmond Hill, NY 11418-2434
Phone (312) 806-6018

Other practice location 1

225 S 4th St
Brooklyn, NY 11211-8693
Phone (718) 384-4700

Other names 1

  • Dr. Nhu Y Phung Dau Professional name

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
I20200228000710 TX Practitioner - Optometry 4981979747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zoom Eyecare PLLCGroup PAC ID 0547559171, 3 clinicians

Practice addresses (Care Compare)

5330 FM 1640 Rd
Richmond, TX 77469-5435
Phone (832) 998-5310

7800 N Navarro St
Suite 223
Victoria, TX 77904-2699
Phone (361) 572-0411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008650NYMDClinical Child & Adolescent Psychologist
9893TXMDNeurology Chiropractor
TUV008650-1NYMDOptometrist
9893TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Zoom Eyecare PLLC Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Lin & Tran OD PA Optometrist CurrentSince Jan 9, 2024 Accepting new patients
Ancona Eyecare Inc Optometrist PastSince Dec 14, 2018 Accepting new patients
Clearview Ophthalmology PC PastSince Feb 19, 2023 Accepting new patients

Locations

1020 Willowbrook Mall
Houston, TX 77070
Phone (281) 537-0404

10411 North Fwy
#45
Houston, TX 77037
Phone (281) 999-9920

20131 Highway 59 N
Ste 2416
Humble, TX 77338
Phone (281) 446-0440

7800 N Navarro St
Ste 223
Victoria, TX 77904
Phone (361) 237-8229

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1063934180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11704 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182434",
            "telephone_number": "312-806-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 WILLOWBROOK MALL # 1020",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705788",
            "telephone_number": "281-894-5300",
            "fax_number": "281-894-5393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112118693",
            "country_code": "US",
            "telephone_number": "718-384-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHUNG",
        "first_name": "Y DAU NHU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9893T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008650-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NHU Y",
            "last_name": "PHUNG DAU",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.