Active NPI
Phuong Nguyen, Inc
- Optometrist
- Sugar Land, TX
National Provider Identifier
1336392828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1611949-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.