Individual provider Active NPI

Karen Ngoc Nguyen, OD

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1245899566
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9665T Issued in TX
Practice address
4800 S Hulen St Ste 2720
Fort Worth, TX 76132-1465
Phone
(817) 346-2186
Fax
(817) 370-7902
NPI assigned
Jun 10, 2019
Last updated
Jun 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9665T TX Primary

Addresses

Primary practice location

4800 S Hulen St Ste 2720
Fort Worth, TX 76132-1465

Mailing address

1971 Barron LN
Fort Worth, TX 76112-5353
Phone (817) 291-8451

Other practice location 1

305 W Fm 1382 Ste 524B
Cedar Hill, TX 75104-1890
Phone (972) 293-7170

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
I20190826002266 TX Practitioner - Optometry 1850629007 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9665TXMDAddiction (Substance Use Disorder) Counselor
9665TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Libra Optometry PA Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Infocus Vision, P.C. Optometrist CurrentSince Aug 6, 2019 Accepting new patients

Locations

305 W FM 1382
Ste 524B
Cedar Hill, TX 75104
Phone (972) 293-7170

7859 Walnut Hill Ln
Ste 185
Dallas, TX 75230
Phone (214) 378-2020

4800 S Hulen St
Ste 2720
Ft Worth, TX 76132
Phone (817) 346-2186

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, 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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1245899566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 BARRON LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761125353",
            "telephone_number": "817-291-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S HULEN ST STE 2720",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321465",
            "telephone_number": "817-346-2186",
            "fax_number": "817-370-7902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W Fm 1382 Ste 524B",
            "address_purpose": "LOCATION",
            "city": "Cedar Hill",
            "state": "TX",
            "postal_code": "751041890",
            "country_code": "US",
            "telephone_number": "972-293-7170",
            "fax_number": "972-293-8421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KAREN",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9665T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.