Active NPI
Lynda Nguyen OD PLLC
- Optometrist
- McKinney, TX
National Provider Identifier
1104307339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9203TG
- Legal business name
- LYNDA NGUYEN OD PLLC
- Practice address
- 3041 S Custer Rd
Suite 400
McKinney, TX 75070 - Phone
- (972) 954-9595
- Fax
- (972) 954-9592
- NPI assigned
- Aug 26, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lynda Nguyen, OD
- Title
- Optometrist
- Phone
- (504) 358-1046
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9203TG | TX | Primary |
Addresses
Primary practice location
3041 S Custer Rd
Suite 400
McKinney, TX 75070
Mailing address
120 Turtle Creek Blvd Apt 340
Dallas, TX 75207-6851
Phone (504) 358-1046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720500804 | Medicaid | TX |
Other names 1
- Clarity Eye Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3041 S Custer Rd
Ste 400
McKinney, TX 75070
Phone (972) 954-9595
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- McKinney, TX
- NPI 1720500804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594771200000",
"number": "1104307339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 TURTLE CREEK BLVD APT 340",
"city": "DALLAS",
"state": "TX",
"postal_code": "752076851",
"telephone_number": "504-358-1046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3041 S CUSTER RD",
"address_2": "SUITE 400",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "75070",
"telephone_number": "972-954-9595",
"fax_number": "972-954-9592"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYNDA NGUYEN OD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-26",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "LYNDA",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "504-358-1046",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "9203TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720500804",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clarity Eye Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Clarity Eye Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.