Organization Active NPI

Dr John Nguyen OD and Associates

  • Optometrist
  • Hurst, TX
National Provider Identifier
1083276711
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR JOHN NGUYEN OD AND ASSOCIATES
Practice address
1732 Precinct Line Rd
Hurst, TX 76054-3165
Phone
(817) 576-4419
Fax
(817) 576-4632
NPI assigned
Jul 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2026

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

Authorized official

Name
John Nguyen, O.D.NPI 1528517695
Title
President
Phone
(817) 576-4419

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 Primary

Addresses

Primary practice location

1732 Precinct Line Rd
Hurst, TX 76054-3165

Mailing address

698 Grapevine Hwy
PMB 135
Hurst, TX 76054-2815
Phone (817) 576-4419

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190913000826 TX Part B Supplier - Clinic/Group Practice 0446589634 Receives reassigned benefits from 1 practitioner
Practice locations: Hurst, TX

National Provider Directory

National Provider Directory

Locations

1732 Precinct Line Rd
Hurst, TX 76054
Phone (817) 503-7731

698 Grapevine Hwy
Hurst, TX 76054

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": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780099200000",
    "number": "1083276711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 GRAPEVINE HWY",
            "address_2": "PMB 135",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542815",
            "telephone_number": "817-576-4419",
            "fax_number": "817-576-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 PRECINCT LINE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543165",
            "telephone_number": "817-576-4419",
            "fax_number": "817-576-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOHN NGUYEN OD AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-576-4419",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; 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.