Active NPI
Tham Nguyen, O.D.
- Optometrist
- Helotes, TX
National Provider Identifier
1396772091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6832T
- Practice address
- 12550 Leslie Rd
Helotes, TX 78023-4740 - Phone
- (210) 256-2020
- Fax
- (210) 526-9615
- NPI assigned
- Jun 27, 2006
- Last updated
- Apr 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6832T | TX | Primary |
Addresses
Primary practice location
12550 Leslie Rd
Helotes, TX 78023-4740
Mailing address
PO Box 1271
Helotes, TX 78023-1271
Phone (210) 256-2020
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060718000366 | TX | Practitioner - Optometry | 7719990605 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6832T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tham Nguyen, O.D., P.a. | Optometrist | Current | Accepting new patients |
| Sights My Line, Inc | Past | Accepting new patients |
Locations
11311 Bandera Rd
San Antonio, TX 78250
Phone (210) 256-2020
Organizations & group practices 3
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": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681603200000",
"number": "1396772091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1271",
"city": "HELOTES",
"state": "TX",
"postal_code": "780231271",
"telephone_number": "210-256-2020",
"fax_number": "210-526-9615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12550 LESLIE RD",
"city": "HELOTES",
"state": "TX",
"postal_code": "780234740",
"telephone_number": "210-256-2020",
"fax_number": "210-526-9615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THAM",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2023-04-16",
"certification_date": "2023-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6832T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Helotes, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.