Individual provider Active NPI

Phuong T Nguyen, O.D.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1285792564
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6363T Issued in TX
Practice address
9301 Forest LN
Dallas, TX 75243-4205
Phone
(972) 792-0113
Fax
(972) 792-0115
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 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 6363T TX Primary

Addresses

Primary practice location

9301 Forest LN
Dallas, TX 75243-4205

Mailing address

1111 Avondale Dr
Murphy, TX 75094-4163
Phone (972) 792-0113

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
I20210706002760 TX Practitioner - Optometry 6608278288 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6363TXMDChiropractor
6363TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Phuong T. Nguyen, O.D., PLLC Optometrist CurrentSince Jun 15, 2021 Accepting new patients

Locations

9301 Forest Ln
Dallas, TX 75243
Phone (972) 437-6858

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1285792564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 AVONDALE DR",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944163",
            "telephone_number": "972-792-0113",
            "fax_number": "972-792-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 FOREST LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434205",
            "telephone_number": "972-792-0113",
            "fax_number": "972-792-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUONG",
        "middle_name": "T",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6363T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.