Julia Nguyen Ta, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13104 Issued in CA

Practice address

2325 W Interstate 20
Grand Prairie, TX 75052-3927

Phone

(925) 945-8300

Fax

(925) 945-8757

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Xuan-Lan Thi Nguyen Other name

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

University of Houston - College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Lavi Vision PC

  • Optometrist
  • Grand Prairie, TX
  • NPI 1558636613
  Medicare reassignment NPD Authorized official
• Luxottica of America Inc.

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1366598120
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1497808976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2934 PEGASUS CT",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528042",
            "telephone_number": "510-300-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 W INTERSTATE 20",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523927",
            "telephone_number": "925-945-8300",
            "fax_number": "925-945-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TA",
        "first_name": "JULIA",
        "middle_name": "NGUYEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XUAN-LAN",
            "last_name": "NGUYEN",
            "middle_name": "THI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Surety Care Home Health Services Inc
• Surgical Assistants of Tarrant County LLC
• Sway 3PL LLC
• Lisa Sweet
• Swsenior Caresolutions Ofdallas,LLC.
• Nahn Ta, M.D
• Joseph Tambe Tabe
• Angeline Ngwe Taboh, NP
• Tai Ventures
• Tairose Home Health Services Inc

• Optometrist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.