Q. D. Nguyen PLLC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

6017TG Issued in TX

Legal business name

Q. D. NGUYEN PLLC

Practice address

1228 N Highway 377
Roanoke, TX 76262-9122

Phone

(817) 491-4994

NPI assigned

Oct 20, 2012

Last updated

Nov 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Quang Duy Nguyen, O.D.NPI 1801936463

Title

Optometric Glaucoma Specialist

Phone

(832) 668-4417

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Quang Duy Nguyen, O.D.

  • Optometrist
  • Grand Prairie, TX
  • NPI 1801936463
  NPD (past) Authorized official

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

{
    "created_epoch": "1350691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1346593829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 FRIARS LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523609",
            "telephone_number": "832-668-4417",
            "fax_number": "972-237-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 N HIGHWAY 377",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762629122",
            "telephone_number": "817-491-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Q. D. NGUYEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-20",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "QUANG",
        "authorized_official_middle_name": "DUY",
        "authorized_official_title_or_position": "OPTOMETRIC GLAUCOMA SPECIALIST",
        "authorized_official_telephone_number": "832-668-4417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "6017TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Corneal and Contact Management Optometrist in Roanoke, TX
• Providers in Roanoke, TX by specialty
• Corneal and Contact Management Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.