Individual provider Active NPI

Niki N Nguyen, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1205677648
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11186 Issued in TX
Practice address
18586 Sigma Rd
San Antonio, TX 78258-4274
Phone
(210) 490-6759
NPI assigned
May 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 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 11186 TX Primary

Addresses

Primary practice location

18586 Sigma Rd
San Antonio, TX 78258-4274

Mailing address

18586 Sigma Rd
San Antonio, TX 78258-4274
Phone (210) 490-6759

Other practice location 1

9091 Fair Oaks Pkwy Ste 306
Fair Oaks Ranch, TX 78015-4690
Phone (210) 698-6393

Other names 1

  • Niki Nguyen Landry Other name

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
I20240930003376 TX Practitioner - Optometry 3375074461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Dennington CollabGroup PAC ID 7416287800, 2 clinicians

Practice addresses (Care Compare)

9091 Fair Oaks Pkwy
Suite 306
Fair Oaks Ranch, TX 78015-4690
Phone (210) 698-6393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11186TXMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Oak Ophthalmology Center LLC CurrentSince Aug 1, 2026 Accepting new patients
Dennington Collab Optometrist CurrentSince Jul 29, 2024 Accepting new patients

Locations

9091 Fair Oaks Pkwy
Ste 306
Fair Oaks Ranch, TX 78015
Phone (210) 698-6393

18586 Sigma Rd
San Antonio, TX 78258
Phone (210) 316-8352

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": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1205677648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18586 SIGMA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584274",
            "telephone_number": "210-490-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18586 SIGMA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584274",
            "telephone_number": "210-490-6759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9091 Fair Oaks Pkwy Ste 306",
            "address_purpose": "LOCATION",
            "city": "Fair Oaks Ranch",
            "state": "TX",
            "postal_code": "780154690",
            "country_code": "US",
            "telephone_number": "210-698-6393",
            "fax_number": "210-698-9788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NIKI",
        "middle_name": "N",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKI",
            "last_name": "LANDRY",
            "middle_name": "NGUYEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.