Individual provider Active NPI

Gary Ngoc Nguyen, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1356375752
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05813T Issued in TX
Practice address
5601 Washington Ave
Houston, TX 77007-5134
Phone
(832) 319-7732
Fax
(832) 319-7737
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05813T TX Primary

Addresses

Primary practice location

5601 Washington Ave
Houston, TX 77007-5134

Mailing address

5601 Washington Ave
Houston, TX 77007-5134
Phone (832) 319-7732

Other identifiers 2

IdentifierTypeStateIssuer
11616015OtherTXCAQH
1548182-03MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05813TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Willowbrook Tso PC Optometrist PastSince Apr 9, 2014 Accepting new patients
Tomball Texas State Optical PA Optometrist PastSince Aug 1, 2016 Accepting new patients
PNZ Place Tso PC Optometrist Past Accepting new patients
Pasadena Optical Inc Optometrist PastSince Dec 11, 2013 Accepting new patients
Northshore Tso, Inc. Optometrist Past Accepting new patients
Northline Tso PC Optometrist Past Accepting new patients
Eye Impact PA Optometrist Past Accepting new patients

Organizations & group practices 7

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1356375752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 WASHINGTON AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770075134",
            "telephone_number": "832-319-7732",
            "fax_number": "832-319-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 WASHINGTON AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770075134",
            "telephone_number": "832-319-7732",
            "fax_number": "832-319-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "GARY",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05813T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11616015",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548182-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.