Individual provider Active NPI

Kimuyen Nguyen, O.D.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1235427386
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7755TG Issued in TX
Practice address
16731 Coit Rd
Optical
Dallas, TX 75248-1750
Phone
(972) 250-0700
Fax
(972) 930-0841
NPI assigned
Jul 11, 2011
Last updated
Mar 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7755TG TX Primary

Addresses

Primary practice location

16731 Coit Rd
Optical
Dallas, TX 75248-1750

Mailing address

4150 Est Renner Rd
Ste 300
Richardson, TX 75082
Phone (972) 250-0700

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
I20120924000120 TX Practitioner - Optometry 4284882887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Van Alstyne Eye Care PLLCGroup PAC ID 3870903610, 3 clinicians
Knguyen Eyecare PLLCGroup PAC ID 0244531242, 2 clinicians

Practice addresses (Care Compare)

1284 W Van Alstyne Pkwy
Van Alstyne, TX 75495-4390
Phone (903) 482-0090

4150 E Renner Rd
Suite 300 Perception Eyecare and Eyewear
Richardson, TX 75082-2819
Phone (972) 250-0700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Knguyen Eyecare, PLLC Optometrist CurrentSince Oct 19, 2015 Accepting new patients
Van Alstyne Eye Care PLLC Optometrist CurrentSince Oct 1, 2020 Accepting new patients

Locations

4150 E Renner Rd
Ste 300
Richardson, TX 75082
Phone (972) 250-0700

1284 W Van Alstyne Pkwy
Van Alstyne, TX 75495
Phone (903) 482-0090

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, 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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1235427386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 EST RENNER RD",
            "address_2": "STE 300",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75082",
            "telephone_number": "972-250-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16731 COIT RD",
            "address_2": "OPTICAL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481750",
            "telephone_number": "972-250-0700",
            "fax_number": "972-930-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KIMUYEN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7755TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.