Individual provider Active NPI

Mary T Nguyen, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1144746181
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9324TG Issued in TX
Practice address
13003 Tomball Pkwy
Houston, TX 77086-3122
Phone
(281) 405-8114
Fax
(281) 405-8104
NPI assigned
Aug 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 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 9324TG TX Primary

Addresses

Primary practice location

13003 Tomball Pkwy
Houston, TX 77086-3122

Mailing address

6634 Calico Woods LN
Houston, TX 77041-7281
Phone (281) 405-8114

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
I20190705000515 TX Practitioner - Optometry 9133454663 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9324TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Essence Eyecare, P.a. Optometrist CurrentSince Dec 1, 2022 Accepting new patients

Locations

15955 FM 529 Rd
Houston, TX 77095
Phone (281) 855-1305

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": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1144746181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6634 CALICO WOODS LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770417281",
            "telephone_number": "281-405-8114",
            "fax_number": "281-405-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13003 TOMBALL PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770863122",
            "telephone_number": "281-405-8114",
            "fax_number": "281-405-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MARY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9324TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.