Organization Active NPI

Phuong Nguyen, Inc

  • Optometrist
  • Sugar Land, TX
National Provider Identifier
1336392828
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PHUONG NGUYEN, INC
Practice address
17428 W Grand Pkwy S
Sugar Land, TX 77479-2564
Phone
(281) 342-1000
Fax
(281) 342-1002
NPI assigned
Oct 28, 2008
Last updated
Jan 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Dr. Phuong Nguyen, OD
Title
President
Phone
(281) 342-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TX Primary

Addresses

Primary practice location

17428 W Grand Pkwy S
Sugar Land, TX 77479-2564

Mailing address

17428 W Grand Pkwy S
Sugar Land, TX 77479-2564
Phone (281) 342-1000

Other identifiers 1

IdentifierTypeStateIssuer
1611949-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

17428 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 342-1000

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1336392828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17428 W GRAND PKWY S",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792564",
            "telephone_number": "281-342-1000",
            "fax_number": "281-342-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17428 W GRAND PKWY S",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792564",
            "telephone_number": "281-342-1000",
            "fax_number": "281-342-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHUONG NGUYEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-342-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1611949-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.