Active NPI
Kimthu Isabel Nguyen, OD
- Optometrist
- Austin, TX
National Provider Identifier
1497639256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11511
- Practice address
- 4008 Crystal Water CV
Austin, TX 78735-6343 - Phone
- (408) 784-0523
- NPI assigned
- Aug 4, 2025
- 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 | 11511 | TX | Primary |
Addresses
Primary practice location
4008 Crystal Water CV
Austin, TX 78735-6343
Mailing address
4008 Crystal Water CV
Austin, TX 78735-6343
Phone (408) 784-0523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11511 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1497639256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4008 CRYSTAL WATER CV",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787356343",
"telephone_number": "408-784-0523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4008 CRYSTAL WATER CV",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787356343",
"telephone_number": "408-784-0523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KIMTHU",
"middle_name": "ISABEL",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-04",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "11511",
"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 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.