Individual provider Active NPI

CHI Peter Nguyen, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1215458633
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9231T Issued in TX
Practice address
1533 N Shepherd Dr Ste 120
Houston, TX 77008-4180
Phone
(832) 975-7020
Fax
(832) 975-7021
NPI assigned
Jul 6, 2017
Last updated
May 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9231T TX Primary

Addresses

Primary practice location

1533 N Shepherd Dr Ste 120
Houston, TX 77008-4180

Mailing address

3703 Telephone Rd
Houston, TX 77023-5701

Other practice location 1

3703 Telephone Rd
Houston, TX 77023-5701
Phone (832) 660-7176

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
I20200320001873 TX Practitioner - Optometry 5597193714 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Studio, PLLCGroup PAC ID 4587057427, 3 clinicians
Eado Eye Studio PLLCGroup PAC ID 7315472800, 3 clinicians

Practice addresses (Care Compare)

1533 N Shepherd Dr
Suite 120
Houston, TX 77008-4180
Phone (832) 975-7020

2921 Riverby Rd
Suite 104
Houston, TX 77020-1800
Phone (832) 660-7176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9231TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eado Eye Studio, PLLC Optometrist CurrentSince Dec 15, 2024 Accepting new patients
Ao Vision PA Optometrist CurrentSince Oct 2, 2022 Accepting new patients
Eyecare Leaders PA Optometrist CurrentSince Oct 29, 2020 Accepting new patients
Sight Studio, PLLC Optometrist CurrentSince Nov 10, 2021 Accepting new patients

Locations

10603 Fuqua St
Ste A
Houston, TX 77089
Phone (713) 947-8718

12288 Westheimer Rd
Ste 230
Houston, TX 77077
Phone (281) 589-2020

1533 N Shepherd Dr
Ste 120
Houston, TX 77008
Phone (832) 660-7176

2921 Riverby Rd
Ste 104
Houston, TX 77020
Phone (832) 660-7176

Organizations & group practices 4

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1215458633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 TELEPHONE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770235701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 N SHEPHERD DR STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770084180",
            "telephone_number": "832-975-7020",
            "fax_number": "832-975-7021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3703 Telephone Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770235701",
            "country_code": "US",
            "telephone_number": "832-660-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHI",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9231T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.