Active NPI
Richard Nguyen
- Optometrist
- Shenandoah, TX
National Provider Identifier
1235969890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11210T
- Practice address
- 19075 I 45 S Ste 121B
Shenandoah, TX 77385-8772 - Phone
- (936) 271-1717
- NPI assigned
- Aug 7, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11210T | TX | Primary |
Addresses
Primary practice location
19075 I 45 S Ste 121B
Shenandoah, TX 77385-8772
Mailing address
2750 Holly Hall St Apt 307
Houston, TX 77054-4148
Phone (240) 401-9945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11210T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision, Inc. | 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.
-
- Optician
- Shenandoah, TX
- NPI 1023402138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1235969890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 HOLLY HALL ST APT 307",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770544148",
"telephone_number": "240-401-9945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19075 I 45 S STE 121B",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773858772",
"telephone_number": "936-271-1717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "RICHARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "11210T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.