Individual provider Active NPI

Julie Thuydung Nguyen, OD

  • Optometrist
  • Lake Jackson, TX
National Provider Identifier
1174713077
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7121TG Issued in TX
Practice address
121 Highway 332 W
100
Lake Jackson, TX 77566-4015
Phone
(979) 480-9424
Fax
(979) 480-9426
NPI assigned
Jul 26, 2007
Last updated
Nov 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7121TG TX Primary

Addresses

Primary practice location

121 Highway 332 W
100
Lake Jackson, TX 77566-4015

Mailing address

PO Box 121
Lake Jackson, TX 77566-0121
Phone (979) 480-9424

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
I20071121000149 TX Practitioner - Optometry 2365530573 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Jackson, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

121 Hwy 332 W
Suite 100
Lake Jackson, TX 77566-4015
Phone (979) 480-9424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7121TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Julie T. Nguyen, PLLC Optometrist PastSince Jan 1, 1990 Accepting new patients
Dr. Heidi B Doucet, P.L.L.C. Optometrist PastSince Jul 5, 2004 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1174713077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775660121",
            "telephone_number": "979-480-9424",
            "fax_number": "979-480-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HIGHWAY 332 W",
            "address_2": "100",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664015",
            "telephone_number": "979-480-9424",
            "fax_number": "979-480-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JULIE",
        "middle_name": "THUYDUNG",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7121TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.