Individual provider Active NPI

Amy Thien Nguyen, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1366097891
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9849T Issued in TX
Practice address
1560 Eldridge Pkwy Ste 136
Houston, TX 77077-1762
Phone
(281) 531-7020
Fax
(281) 531-7010
NPI assigned
Aug 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9849T TX Primary

Addresses

Primary practice location

1560 Eldridge Pkwy Ste 136
Houston, TX 77077-1762

Mailing address

1560 Eldridge Pkwy Ste 136
Houston, TX 77077-1762
Phone (281) 531-7020

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
I20191023002977 TX Practitioner - Optometry 4284966250 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9849TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Eye Care Optometrist CurrentSince Aug 1, 2019 Accepting new patients

Locations

1560 Eldridge Pkwy
Ste 136
Houston, TX 77077
Phone (281) 235-5443

Organizations & group practices 1

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": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1366097891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 ELDRIDGE PKWY STE 136",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771762",
            "telephone_number": "281-531-7020",
            "fax_number": "281-531-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 ELDRIDGE PKWY STE 136",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771762",
            "telephone_number": "281-531-7020",
            "fax_number": "281-531-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "AMY",
        "middle_name": "THIEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9849T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.