Individual provider Active NPI

Jimmy M Nguyen, O.D.

  • Optometrist
  • Plano, TX
National Provider Identifier
1356314892
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6831T Issued in TX
Practice address
301 Coit Rd
Plano, TX 75075-5711
Phone
(972) 398-8819
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6831T TX Primary

Addresses

Primary practice location

301 Coit Rd
Plano, TX 75075-5711

Mailing address

12423 Lancelot Dr
Houston, TX 77031-3311
Phone (281) 498-2741

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
I20130830000154 TX Practitioner - Optometry 1951544584 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6831TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Copperfield Vision Center, Inc Optometrist CurrentSince May 23, 2013 Accepting new patients
Sugar Land Vision Center, PC Optometrist CurrentSince May 6, 2018 Accepting new patients

Locations

7085 Highway 6 N
Houston, TX 77095
Phone (281) 463-8333

1875 Highway 6
Ste 800
Sugar Land, TX 77478
Phone (281) 463-8333

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1356314892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12423 LANCELOT DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770313311",
            "telephone_number": "281-498-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 COIT RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755711",
            "telephone_number": "972-398-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JIMMY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6831T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.