Individual provider Active NPI

Anny Nguyen, O.D.

  • Optometrist
  • Wylie, TX
National Provider Identifier
1366739559
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7727T Issued in TX
Practice address
3460 W FM 544
Suite 550
Wylie, TX 75098-9408
Phone
(972) 429-3501
Fax
(972) 442-4916
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7727T TX Primary

Addresses

Primary practice location

3460 W FM 544
Suite 550
Wylie, TX 75098-9408

Mailing address

3460 W FM 544
Suite 550
Wylie, TX 75098-9408
Phone (972) 429-3501

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
I20111130000041 TX Practitioner - Optometry 6204000375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3460 W FM
544 Suite 550
Wylie, TX 75098
Phone (469) 585-4398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7727TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Anny Nguyen OD PLLC Optometrist CurrentSince Dec 21, 2011 Accepting new patients
Anny Nguyen O.D. PLLC Optometrist Past Accepting new patients

Locations

7805 N MacArthur Blvd
Ste 101
Irving, TX 75063
Phone (214) 496-0839

3460 W FM 544
Ste 550
Wylie, TX 75098
Phone (972) 429-3501

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": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1366739559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 W FM 544",
            "address_2": "SUITE 550",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750989408",
            "telephone_number": "972-429-3501",
            "fax_number": "972-442-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 W FM 544",
            "address_2": "SUITE 550",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750989408",
            "telephone_number": "972-429-3501",
            "fax_number": "972-442-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANNY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7727T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.