Individual provider Active NPI

Peter K Nguyen, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1326472622
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8286TG Issued in TX
Practice address
24531 Ih 10 West
103
San Antonio, TX 78257
Phone
(210) 888-3939
NPI assigned
Aug 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8286TG TX Primary

Addresses

Primary practice location

24531 Ih 10 West
103
San Antonio, TX 78257

Mailing address

24531 Ih 10 West
103
San Antonio, TX 78257
Phone (210) 888-3939

Other practice location 1

10602 Emory Quinn
San Antonio, TX 78254-4589
Phone (832) 640-9780

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
I20140211001778 TX Practitioner - Optometry 1759510977 Reassigns benefits to 3 organizations
Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14244 Potranco Rd
Suite 450
San Antonio, TX 78253-2145
Phone (210) 701-8303

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8286TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Heidi B Doucet, P.L.L.C. Optometrist CurrentSince Sep 24, 2013 Accepting new patients
Elite Vision Satx PLLC Optometrist CurrentSince Oct 1, 2019 Accepting new patients
211 Eye Care PLLC Optometrist CurrentSince Feb 24, 2026 Accepting new patients
Potranco Eye Care, PLLC Optometrist CurrentSince Sep 21, 2022 Accepting new patients
Aeg Texas Professional PLLC Optometrist PastSince Jan 21, 2021 Accepting new patients

Locations

3732 N 16th St
Orange, TX 77632
Phone (409) 883-4821

7915 W Loop 1604 N
Ste 118
San Antonio, TX 78254
Phone (210) 257-0940

24531 W Interstate 10
Ste 103
San Antonio, TX 78257
Phone (210) 888-3939

14244 Potranco Rd
Ste 450
San Antonio, TX 78253
Phone (210) 701-8303

15489 Culebra Rd
Ste 307
San Antonio, TX 78253
Phone (210) 701-8303

Organizations & group practices 5

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": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1326472622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24531 IH 10 WEST",
            "address_2": "103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78257",
            "telephone_number": "210-888-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24531 IH 10 WEST",
            "address_2": "103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78257",
            "telephone_number": "210-888-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10602 Emory Quinn",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782544589",
            "country_code": "US",
            "telephone_number": "832-640-9780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PETER",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-22",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8286TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.