Individual provider Active NPI

Tham Nguyen, O.D.

  • Optometrist
  • Helotes, TX
National Provider Identifier
1396772091
Registry record updated Apr 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6832T Issued in TX
Practice address
12550 Leslie Rd
Helotes, TX 78023-4740
Phone
(210) 256-2020
Fax
(210) 526-9615
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060718000366 TX Practitioner - Optometry 7719990605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6832TXMDCounselor
6832TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tham Nguyen, O.D., P.a. Optometrist CurrentSince Apr 23, 2023 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 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": "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

Verify at the official NPI Registry.