Active NPI
Phuong T Nguyen, O.D.
- Optometrist
- Dallas, TX
National Provider Identifier
1285792564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6363T
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6363 | TX | MD | Chiropractor |
| 6363T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phuong T. Nguyen, O.D., PLLC | Optometrist | Current | 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.
-
- Optometrist
- Dallas, TX
- NPI 1689245540
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.