Organization Active NPI

Nguyen Wong Eye Care

  • Optometrist
  • Austin, TX
National Provider Identifier
1457033110
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NGUYEN WONG EYE CARE
Practice address
2006 Crimson Rosella TRL
Austin, TX 78728-4761
Phone
(832) 366-7978
NPI assigned
Aug 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Paul Nguyen, ODNPI 1942721576
Title
Owner
Phone
(832) 366-7978

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2006 Crimson Rosella TRL
Austin, TX 78728-4761

Mailing address

2006 Crimson Rosella TRL
Austin, TX 78728-4761
Phone (832) 366-7978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240702000107 TX Part B Supplier - Clinic/Group Practice 4688118672 Receives reassigned benefits from 1 practitioner
Practice locations: Georgetown, TX

National Provider Directory

National Provider Directory

Locations

940 Westinghouse Rd
Ste 105
Georgetown, TX 78626
Phone (512) 631-0082

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1457033110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 CRIMSON ROSELLA TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787284761",
            "telephone_number": "832-366-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 CRIMSON ROSELLA TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787284761",
            "telephone_number": "832-366-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN WONG EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-07-01",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-366-7978",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.