Organization Active NPI

Lynda Nguyen OD PLLC

  • Optometrist
  • McKinney, TX
National Provider Identifier
1104307339
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9203TG Issued in TX
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

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Dr. Lynda Nguyen, ODNPI 1720500804
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1720500804MedicaidTX

Other names 1

  • Clarity Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191118002790 TX Part B Supplier - Clinic/Group Practice 2062844723 Receives reassigned benefits from 1 practitioner
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.