Individual provider Active NPI

Quan Manh Nguyen, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1144584400
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8027T Issued in TX
Practice address
10080 Bellaire Blvd Ste 105
Houston, TX 77072-5249
Phone
(713) 774-3211
Fax
(713) 774-2310
NPI assigned
Jul 1, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8027T TX Primary

Addresses

Primary practice location

10080 Bellaire Blvd Ste 105
Houston, TX 77072-5249

Mailing address

10080 Bellaire Blvd Ste 105
Houston, TX 77072-5249
Phone (713) 774-3211

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
I20131024001262 TX Practitioner - Optometry 8123253366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellaire Optometry Clinic IncGroup PAC ID 3678518834, 4 clinicians

Practice addresses (Care Compare)

10080 Bellaire Blvd
Suite 105
Houston, TX 77072-5255
Phone (713) 774-3211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8027TXMDOrthopedic Chiropractor
8027TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellaire Optometry Clinic Inc Optometrist CurrentSince Sep 1, 2013 Accepting new patients

Locations

10080 Bellaire Blvd
Ste 105
Houston, TX 77072
Phone (713) 774-3211

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": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1144584400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10080 BELLAIRE BLVD STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725249",
            "telephone_number": "713-774-3211",
            "fax_number": "713-774-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10080 BELLAIRE BLVD STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725249",
            "telephone_number": "713-774-3211",
            "fax_number": "713-774-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "QUAN",
        "middle_name": "MANH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-01",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8027T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.