Individual provider Active NPI

VI Nguyen, DO

  • Optometrist
  • Mesquite, TX
National Provider Identifier
1285289066
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9716 Issued in TX
Practice address
4740 Meadowview Dr
Mesquite, TX 75150-2951
Phone
(214) 516-1881
NPI assigned
Aug 7, 2019
Last updated
Aug 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 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 9716 TX Primary

Addresses

Primary practice location

4740 Meadowview Dr
Mesquite, TX 75150-2951

Mailing address

4740 Meadowview Dr
Mesquite, TX 75150-2951
Phone (214) 516-1881

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
I20200504002441 TX Practitioner - Optometry 4587095757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Contact Lens Center IncGroup PAC ID 9133386790, 4 clinicians

Practice addresses (Care Compare)

1514 E Belt Line Rd
Carrollton, TX 75006-6369
Phone (972) 242-2020

1514 E Beltline Rd
Carrollton, TX 75006-6369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
9716TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Contact Lens Center Inc Optometrist CurrentSince Jan 29, 2020 Accepting new patients

Locations

1514 E Belt Line Rd
Carrollton, TX 75006
Phone (214) 739-2020

6565 Hillcrest Ave
Ste 270
Dallas, TX 75205
Phone (214) 739-2020

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": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1285289066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 MEADOWVIEW DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502951",
            "telephone_number": "214-516-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 MEADOWVIEW DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502951",
            "telephone_number": "214-516-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.