Individual provider Active NPI

Tammy Nguyen, OD

  • Optometrist
  • Dallas, TX
National Provider Identifier
1245124346
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11424 Issued in TX
Practice address
8055 Churchill Way
Dallas, TX 75251-2149
Phone
(469) 680-7561
NPI assigned
Jun 4, 2025
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 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 11424 TX Primary

Addresses

Primary practice location

8055 Churchill Way
Dallas, TX 75251-2149

Mailing address

8055 Churchill Way
Dallas, TX 75251-2149
Phone (469) 680-7561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10419 N Fallen Bough Dr
Houston, TX 77041-7867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11424TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Easy Eye Care LLC Optometrist CurrentSince Jun 8, 2025 Accepting new patients

Locations

1225 E Belt Line Rd
Ste 400
Richardson, TX 75081
Phone (210) 859-9691

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, 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": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1245124346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 CHURCHILL WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512149",
            "telephone_number": "469-680-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 CHURCHILL WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512149",
            "telephone_number": "469-680-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TAMMY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-04",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.