Jennie Nguyen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

8367 Issued in TX

Practice address

4600 Greenville Ave
Dallas, TX 75206-5062

Phone

(214) 363-5991

NPI assigned

Dec 3, 2008

Last updated

Jan 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey L. Morer, OD, PAGroup PAC ID 2466405394, 11 clinicians

Ousley Vision PLLCGroup PAC ID 0840685517, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ousley Vision PLLC

  • Optometrist
  • Highland Village, TX
  • NPI 1134874050
  Medicare reassignment Care Compare group NPD
• Jeffrey L. Morer, OD, PA

  dba HealthDrive Eye Care Group

  • Optometrist
  • Fort Worth, TX
  • NPI 1437304318
  Medicare reassignment Care Compare group
• Lewisville Eye Care, PLLC

  • Optometrist
  • Lewisville, TX
  • NPI 1831707603
  Medicare reassignment NPD
• Charles Ovitsky

  • Optometrist
  • Chicago, IL
  • NPI 1821049693
  NPD (past)
• Visionworks, Inc

  dba Visionworks

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD (past)
• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Niles, IL
  • NPI 1831115906
  NPD (past)

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1427293638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 STEWART DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 GREENVILLE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065062",
            "telephone_number": "214-363-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JENNIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8367",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010169",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010169",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "0001604768",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427293638",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Nguyen, O.D.
• Jada Dan Nguyen
• Jaimee Nguyen
• Jamie Tam Nguyen, PHARMD
• Jamie Thi Nguyen
• Jennifer Nguyen, DDS
• Jennyly Thuy Nguyen
• Jesica Nguyen, CRNA
• Jessica Nguyen, D.O.
• Jessie Van Nguyen, CRNA

• Optometrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.