Active NPI
Kara Cuc Nguyen, O.D.
- Optometrist
- Arlington, TX
National Provider Identifier
1306905245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5635T
- Practice address
- 279 Southwest PLZ
Arlington, TX 76016-4495 - Phone
- (817) 572-9991
- Fax
- (817) 478-7342
- NPI assigned
- Dec 6, 2006
- Last updated
- Sep 24, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 5635T | TX | Primary |
Addresses
Primary practice location
279 Southwest PLZ
Arlington, TX 76016-4495
Mailing address
279 Southwest PLZ
Arlington, TX 76016-4495
Phone (817) 572-9991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5635T | Other | TX | STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| 5635T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ICU Optical LLC | Past | Accepting new patients |
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": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285286400000",
"number": "1306905245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 SOUTHWEST PLZ",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760164495",
"telephone_number": "817-572-9991",
"fax_number": "817-478-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 SOUTHWEST PLZ",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760164495",
"telephone_number": "817-572-9991",
"fax_number": "817-478-7342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KARA",
"middle_name": "CUC",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2010-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5635T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "5635T",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.