Samantha Nguyen

Primary specialty

OptometristTaxonomy code 152W00000X

License

9987T Issued in TX

Practice address

19210 Gulf Fwy
Friendswood, TX 77546-2705

Phone

(832) 224-4766

Fax

(832) 224-4091

NPI assigned

Jun 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Park Central Eyecare PA

  dba Master Eye Port Arthur

  • Optometrist
  • Port Arthur, TX
  • NPI 1891971735
  Medicare reassignment NPD

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1093331365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 HIGHWAY 365",
            "address_2": "STE 164",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427797",
            "telephone_number": "409-727-5366",
            "fax_number": "409-727-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19210 GULF FWY",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775462705",
            "telephone_number": "832-224-4766",
            "fax_number": "832-224-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9987T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Porter Newman, PHARM.D., R.PH.
• Shannon Newman, PT
• Annette Kessler Newsom, OTR
• Alyson Leon Nguyen, DDS
• David Vinh Nguyen, O.D.
• Thuy Hang Nguyen, DDS
• Tuyen Nguyen, FNP-C
• Xuan Nguyen, PHARMD
• Nima Goharkhay, PLLC (Pregnancy Specialty Center of Texas)
• Julie M Nise, MA, LPC, LMFT

• Optometrist in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.