Individual provider Active NPI

Emily Ngoc Nguyen, OD

  • Optometrist
  • Waco, TX
National Provider Identifier
1093387128
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10233TG Issued in TX
Practice address
4800 Memorial Dr
Waco, TX 76711-1329
Phone
(254) 752-6581
NPI assigned
Jul 16, 2021
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 10233TG TX
Optometrist 152W00000X 10233TG TX Primary
Optometrist 152W00000X 10233T TX

Addresses

Primary practice location

4800 Memorial Dr
Waco, TX 76711-1329

Mailing address

11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-4997

Other practice location 1

2727 W Holcombe Blvd
Houston, TX 77025-1669
Phone (713) 442-0000

Other practice location 2

12512 Memorial Dr Ste A
Houston, TX 77024-6008
Phone (713) 324-8888

Other practice location 3

1614 Highway 36
Sealy, TX 77474-7124
Phone (281) 404-9191

Other practice location 4

14634 Memorial Dr
Houston, TX 77079-7517
Phone (281) 741-7295

Other practice location 5

132 Southmore Ave
Pasadena, TX 77502-1018
Phone (281) 445-2021

Other practice location 6

12029 N Grand Pkwy E Ste 200A
New Caney, TX 77357-1868
Phone (713) 662-2035

Other practice location 7

2025 S Southwest Loop 323
Tyler, TX 75701-0763
Phone (903) 446-7482

Other practice location 8

1200 W Main St Ste A
Gun Barrel City, TX 75156-5320
Phone (903) 303-5998

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
I20220728002047 TX Practitioner - Optometry 0244612828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial 2020 PLLCGroup PAC ID 0143652990, 4 clinicians

Practice addresses (Care Compare)

14634 Memorial Dr
Houston, TX 77079-7517
Phone (281) 741-7295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10233TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsey-Seybold Medical Group, PLLC CurrentSince Sep 12, 2022 Accepting new patients
Memorial 2020 PLLC Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Memorial 2020 PLLC Optometrist CurrentSince Jul 1, 2025 Accepting new patients

Locations

1200 W Main St
Gun Barrel City, TX 75156
Phone (903) 303-5998

12512 Memorial Dr
Ste A
Houston, TX 77024
Phone (713) 324-8888

14634 Memorial Dr
Houston, TX 77079
Phone (281) 741-7295

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

201 Enterprise Ave
Ste 900
League City, TX 77573
Phone (713) 442-2826

7010 Highway 6
Missouri City, TX 77459
Phone (713) 442-4200

132 Southmore Ave
Pasadena, TX 77502
Phone (281) 445-2021

11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997

2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200

2025 Ssw Loop 323
Tyler, TX 75701
Phone (903) 303-5998

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1093387128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 SHADOW CREEK PKWY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847298",
            "telephone_number": "713-442-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MEMORIAL DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767111329",
            "telephone_number": "254-752-6581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2727 W Holcombe Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770251669",
            "country_code": "US",
            "telephone_number": "713-442-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12512 Memorial Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770246008",
            "country_code": "US",
            "telephone_number": "713-324-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1614 Highway 36",
            "address_purpose": "LOCATION",
            "city": "Sealy",
            "state": "TX",
            "postal_code": "774747124",
            "country_code": "US",
            "telephone_number": "281-404-9191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14634 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770797517",
            "country_code": "US",
            "telephone_number": "281-741-7295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 Southmore Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775021018",
            "country_code": "US",
            "telephone_number": "281-445-2021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12029 N Grand Pkwy E Ste 200A",
            "address_purpose": "LOCATION",
            "city": "New Caney",
            "state": "TX",
            "postal_code": "773571868",
            "country_code": "US",
            "telephone_number": "713-662-2035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 S Southwest Loop 323",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757010763",
            "country_code": "US",
            "telephone_number": "903-446-7482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 W Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Gun Barrel City",
            "state": "TX",
            "postal_code": "751565320",
            "country_code": "US",
            "telephone_number": "903-303-5998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "EMILY",
        "middle_name": "NGOC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "10233TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10233TG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10233T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.