Individual provider Active NPI

Nathan Tuan Nguyen

  • Optometrist
  • Austin, TX
National Provider Identifier
1194677534
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35407 Issued in CA
Practice address
10601 Pecan Park Blvd Ste 201
Austin, TX 78750-1325
Phone
(512) 401-0400
NPI assigned
Feb 10, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35407 CA Primary

Addresses

Primary practice location

10601 Pecan Park Blvd Ste 201
Austin, TX 78750-1325

Mailing address

24328 Seagreen Dr
Diamond Bar, CA 91765-4209
Phone (909) 895-9086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 2, 2026 through Jun 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35407CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Optometry Center for Vision Therapy Corp Optometrist 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.

NPI Registry JSON

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

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1194677534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24328 SEAGREEN DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654209",
            "telephone_number": "909-895-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 PECAN PARK BLVD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501325",
            "telephone_number": "512-401-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NATHAN TUAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.