Individual provider Active NPI

Jenifer Nguyen, O.D.

  • Optometrist
  • Frisco, TX
National Provider Identifier
1124471271
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8983T Issued in TX
Practice address
2727 Main St Ste 620
Frisco, TX 75036-4319
Phone
(469) 699-8599
Fax
(469) 699-8549
NPI assigned
Jul 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8983T TX Primary

Addresses

Primary practice location

2727 Main St Ste 620
Frisco, TX 75036-4319

Mailing address

2727 Main St Ste 620
Frisco, TX 75036-4319
Phone (469) 699-8599

Other names 1

  • Jenifer Nguyen Shinpaugh Other name

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
I20160818001350 TX Practitioner - Optometry 8820383664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Candn Eye Care Center PLLCGroup PAC ID 4385188507, 2 clinicians

Practice addresses (Care Compare)

2727 Main St
Suite 620
Frisco, TX 75036-4319
Phone (469) 699-8599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8983TXMDMental Health Counselor
8983TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
C&N Eye Care Center, PLLC Optometrist CurrentSince May 30, 2023 Accepting new patients

Locations

2727 Main St
Ste 620
Frisco, TX 75036
Phone (469) 699-8599

Organizations & group practices 1

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": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1124471271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 MAIN ST STE 620",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750364319",
            "telephone_number": "469-699-8599",
            "fax_number": "469-699-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 MAIN ST STE 620",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750364319",
            "telephone_number": "469-699-8599",
            "fax_number": "469-699-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JENIFER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8983T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENIFER",
            "last_name": "NGUYEN SHINPAUGH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.