Active NPI
Jimmy Nguyen, O.D
- Optometrist
- Fort Worth, TX
National Provider Identifier
1184944985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 4478
- Practice address
- 2600 W 7TH St Ste 145
Fort Worth, TX 76107-9301 - Phone
- (817) 806-0265
- NPI assigned
- Jun 3, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 4478 | FL | Primary |
Addresses
Primary practice location
2600 W 7TH St Ste 145
Fort Worth, TX 76107-9301
Mailing address
4417 Chesapeake Bay Dr
Fort Worth, TX 76123-4029
Phone (407) 408-5177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPC 4478 | Other | FL | STATE LINCENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision Inc | Past | Accepting new patients |
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.
-
- Optician
- Fort Worth, TX
- NPI 1124504063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1184944985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4417 CHESAPEAKE BAY DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761234029",
"telephone_number": "407-408-5177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 W 7TH ST STE 145",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761079301",
"telephone_number": "817-806-0265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JIMMY",
"credential": "O.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-03",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4478",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LINCENSE",
"identifier": "OPC 4478",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.