Individual provider Active NPI

Vinh Nguyen, O.D

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1396126538
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8725TG Issued in TX
Practice address
3138 SE Military Dr Ste 112
San Antonio, TX 78223-3895
Phone
(210) 333-8865
NPI assigned
Jun 13, 2015
Last updated
Jan 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8725TG TX Primary

Addresses

Primary practice location

3138 SE Military Dr Ste 112
San Antonio, TX 78223-3895

Mailing address

10000 Research Blvd
Ste 150
Austin, TX 78759-5814
Phone (512) 694-7158

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
I20170213000527 TX Practitioner - Optometry 5294018503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

12320 Barker Cypress Rd
Suite 400
Cypress, TX 77429-8326
Phone (281) 373-1020

21195 Kuykendahl Rd
Spring, TX 77379-3307
Phone (832) 843-6369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8725TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
C&Focus Eyecare Optometrist Current Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Mar 3, 2020 Accepting new patients
Nu-Crown, LLC Optometrist Past Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

21195 Kuykendahl Rd
Spring, TX 77379
Phone (281) 370-4444

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1434153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1396126538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 RESEARCH BLVD",
            "address_2": "STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595814",
            "telephone_number": "512-694-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3138 SE MILITARY DR STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233895",
            "telephone_number": "210-333-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VINH",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-13",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8725TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.