Individual provider Active NPI

Joe D Nguyen, OD

  • Optometrist
  • Kingwood, TX
National Provider Identifier
1093242935
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9025TG Issued in TX
Practice address
22741 Professional Dr
Kingwood, TX 77339-6005
Phone
(281) 319-4334
Fax
(281) 319-4855
NPI assigned
May 22, 2017
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9025TG TX Primary

Addresses

Primary practice location

22741 Professional Dr
Kingwood, TX 77339-6005

Mailing address

9303 Nickelwood CT
Houston, TX 77070-5543

Other practice location 1

8705 West Loop S Ste 400
Houston, TX 77096-1730
Phone (713) 662-3937

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jnguyen@direct.berkeleyeye.com Berkeley Eye Institute, PLLC

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
I20210106001486 TX Practitioner - Optometry 6204249543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkeley Eye Institute, PLLCGroup PAC ID 4082602156, 62 clinicians

Practice addresses (Care Compare)

22741 Professional Dr
Kingwood, TX 77339-6005
Phone (281) 319-4334

3100 Weslayan St
Suite 400
Houston, TX 77027-5752
Phone (713) 526-1600

Merit-based Incentive Payment System (MIPS)

Final score
89.82 of 100Reported as group
Quality
81.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9025TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Eye Institute, PLLC Optometrist CurrentSince Feb 1, 2021 Accepting new patients
Berkeley Eye Institute, PLLC Optometrist CurrentSince Feb 1, 2021 Accepting new patients
Clear Lake Eye Center LLP Optometrist Past Accepting new patients

Locations

605 Medical Ct
Ste 203
Brenham, TX 77833
Phone (979) 353-5556

1200 McKinney St
Ste 411
Houston, TX 77010
Phone (713) 651-1455

12140 East Fwy
Houston, TX 77029
Phone (832) 995-2613

3100 Weslayan St
Ste 400
Houston, TX 77027
Phone (713) 526-1600

8731 Katy Fwy
Ste 300
Houston, TX 77024
Phone (713) 424-4824

22741 Professional Dr
Kingwood, TX 77339
Phone (281) 944-2232

1535 Cullen Blvd
Ste 200
Pearland, TX 77581
Phone (713) 436-1551

3929 Woodsons Reserve Pkwy
Spring, TX 77386
Phone (346) 423-6443

1602 N Fulton St
Wharton, TX 77488
Phone (979) 532-0805

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1093242935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9303 NICKELWOOD CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22741 PROFESSIONAL DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396005",
            "telephone_number": "281-319-4334",
            "fax_number": "281-319-4855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8705 West Loop S Ste 400",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770961730",
            "country_code": "US",
            "telephone_number": "713-662-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JOE",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9025TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnguyen@direct.berkeleyeye.com",
            "affiliation": "Y",
            "affiliationName": "Berkeley Eye Institute, PLLC",
            "address_1": "22741 Professional Dr",
            "city": "Kingwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773396005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.