Individual provider Active NPI

Cecilia Doan Nguyen, O.D

  • Optometrist
  • Cypress, TX
National Provider Identifier
1124316682
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7777T Issued in TX
Practice address
24120 Northwest Fwy Ste 600
Cypress, TX 77429-5951
Phone
(281) 758-3083
NPI assigned
Jul 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 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 7777T TX Primary

Addresses

Primary practice location

24120 Northwest Fwy Ste 600
Cypress, TX 77429-5951

Mailing address

24120 Northwest Fwy Ste 600
Cypress, TX 77429-5951
Phone (281) 758-3083

Other practice location 1

225 Cypresswood Ct.
Spring, TX 77388
Phone (281) 881-4601

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
I20111006000216 TX Practitioner - Optometry 3375715832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24120 Northwest Fwy
Suite 600
Cypress, TX 77429-5951
Phone (281) 758-3083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7777TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Source - Copperfield PA Optometrist CurrentSince Aug 19, 2011 Accepting new patients
CN Vision Care, PLLC Optometrist CurrentSince Nov 1, 2018 Accepting new patients

Locations

24120 Northwest Fwy
Ste 600
Cypress, TX 77429
Phone (281) 758-3083

13615 Bellaire Blvd
Houston, TX 77083
Phone (281) 933-3446

8717 Highway 6 N
Houston, TX 77095
Phone (281) 859-8000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1124316682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24120 NORTHWEST FWY STE 600",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295951",
            "telephone_number": "281-758-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24120 NORTHWEST FWY STE 600",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295951",
            "telephone_number": "281-758-3083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Cypresswood Ct.",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "77388",
            "country_code": "US",
            "telephone_number": "281-881-4601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CECILIA",
        "middle_name": "DOAN",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7777T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.