Individual provider Active NPI

Jonathan Hien Nguyen, OD

  • Optometrist
  • Frisco, TX
National Provider Identifier
1194409524
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10875 Issued in TX
Practice address
3140 Legacy Dr Ste 500
Frisco, TX 75034-8340
Phone
(214) 619-5580
Fax
(214) 619-5581
NPI assigned
Jun 14, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10875 TX Primary

Addresses

Primary practice location

3140 Legacy Dr Ste 500
Frisco, TX 75034-8340

Mailing address

PO Box 208904
Dallas, TX 75320-8904
Phone (636) 200-4393

Other practice location 1

7638 Stonebrook Pkwy
Frisco, TX 75034-1003
Phone (972) 712-1010

Other practice location 2

5266 Independence Pkwy Ste 150
Frisco, TX 75035-5544
Phone (469) 287-9520

Other practice location 3

3924 N Tarrant Pkwy
Fort Worth, TX 76244-5410
Phone (817) 514-2114

Other practice location 4

5246 US Highway 377 S Ste 1
Krugerville, TX 76227-1216
Phone (940) 365-0440

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
I20231106000204 TX Practitioner - Optometry 6204283799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frisco Eye AssociatesGroup PAC ID 5193792786, 12 clinicians

Practice addresses (Care Compare)

3140 Legacy Dr
Suite 500
Frisco, TX 75034-8340
Phone (214) 619-5508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10875TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Frisco Eye Associates Optometrist CurrentSince Sep 16, 2023 Accepting new patients
Woodlands Eyecare Optometrist CurrentSince Sep 16, 2023 Accepting new patients
My Catholic Doctor, P.L.L.C. PastSince Jul 9, 2023 Accepting new patients

Locations

3924 North Tarrant Pkwy
Fort Worth, TX 76244
Phone (817) 514-2114

5266 Independence Pkwy
Ste 150
Frisco, TX 75035
Phone (469) 287-9519

7638 Stonebrook Pkwy
Frisco, TX 75034
Phone (972) 712-1010

3140 Legacy Dr
Ste 500
Frisco, TX 75034
Phone (214) 619-5508

5246 US Highway 377 S
Ste 1
Krugerville, TX 76227
Phone (940) 365-0440

Interoperability endpoints

  • Direct secure messaging: jonathannguyen@direct.eyecare-partners.com

Organizations & group practices 3

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": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1194409524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208904",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208904",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 LEGACY DR STE 500",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348340",
            "telephone_number": "214-619-5580",
            "fax_number": "214-619-5581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7638 Stonebrook Pkwy",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750341003",
            "country_code": "US",
            "telephone_number": "972-712-1010",
            "fax_number": "972-712-1011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5266 Independence Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750355544",
            "country_code": "US",
            "telephone_number": "469-287-9520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3924 N Tarrant Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762445410",
            "country_code": "US",
            "telephone_number": "817-514-2114",
            "fax_number": "817-514-2150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5246 US Highway 377 S Ste 1",
            "address_purpose": "LOCATION",
            "city": "Krugerville",
            "state": "TX",
            "postal_code": "762271216",
            "country_code": "US",
            "telephone_number": "940-365-0440",
            "fax_number": "940-365-0131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JONATHAN",
        "middle_name": "HIEN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.