Individual provider Active NPI

Tu Anh Nguyen, O.D.

  • Optometrist
  • Cypress, TX
National Provider Identifier
1083671747
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6237TG Issued in TX
Practice address
13611 Skinner Rd
Suite 155
Cypress, TX 77429-1018
Phone
(281) 304-5060
Fax
(281) 304-5070
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6237TG TX Primary

Addresses

Primary practice location

13611 Skinner Rd
Suite 155
Cypress, TX 77429-1018

Mailing address

16910 Thomas Ridge LN
Cypress, TX 77433-3956
Phone (281) 304-5060

Other identifiers 1

IdentifierTypeStateIssuer
6237TGOtherTXOPTOMETRY LICENSE

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
I20051212000114 TX Practitioner - Optometry 4880615483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13611 Skinner Rd
Suite 155
Cypress, TX 77429-2798
Phone (281) 304-5060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6237TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Eyecare, P.a. Optometrist CurrentSince Oct 1, 2006 Accepting new patients
RX Vision Group, PA Optometrist Past Accepting new patients

Locations

13611 Skinner Rd
Ste 155
Cypress, TX 77429
Phone (281) 304-5060

Organizations & group practices 2

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1083671747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16910 THOMAS RIDGE LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774333956",
            "telephone_number": "281-304-5060",
            "fax_number": "281-304-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13611 SKINNER RD",
            "address_2": "SUITE 155",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291018",
            "telephone_number": "281-304-5060",
            "fax_number": "281-304-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TU",
        "middle_name": "ANH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6237TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "6237TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.