Individual provider Active NPI

Kim Nguyen To, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1508874009
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6779TG Issued in TX
Practice address
9620 Westheimer Rd
Houston, TX 77063-3205
Phone
(713) 975-9393
Fax
(713) 975-1919
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6779TG TX Primary

Addresses

Primary practice location

9620 Westheimer Rd
Houston, TX 77063-3205

Mailing address

2470 Gray Falls Dr Ste 150
Houston, TX 77077-6525
Phone (281) 556-5353

Other identifiers 3

IdentifierTypeStateIssuer
1843310-01MedicaidTX
184331003MedicaidTX
1843310-02MedicaidTX

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
I20070226000179 TX Practitioner - Optometry 7113029992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

11805 Westheimer Rd
Suite 300
Houston, TX 77077-6786
Phone (281) 496-3937

12320 Barker Cypress Rd
Suite 400
Cypress, TX 77429-8326
Phone (281) 373-1020

15337 Southwest Fwy
Sugar Land, TX 77478-3832
Phone (281) 242-2020

2677 Wilcrest Dr
Houston, TX 77042-3211
Phone (713) 999-4706

3551 Justin Rd
Suite 150
Flower Mound, TX 75028-6213
Phone (972) 355-5152

4725 Hwy 6
Missouri City, TX 77459-3988
Phone (832) 403-3921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Aeg Florida Professional PLLC Optometrist Past Accepting new patients
Pope Enterprises PLLC Optometrist Past Accepting new patients
Memorial Eye, PA Optometrist Past Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
Dianne Bui Dao OD PC Optometrist PastSince Apr 24, 2011 Accepting new patients

Locations

211 E Broadway
Alton, IL 62002
Phone (314) 787-0681

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

1102 S Friendswood Dr
Ste A
Friendswood, TX 77546
Phone (281) 482-0066

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

15080 Memorial Dr
Houston, TX 77079
Phone (281) 531-0300

2366 Rice Blvd
Ste A
Houston, TX 77005
Phone (713) 521-2020

11805 Westheimer Rd
Ste 300
Houston, TX 77077
Phone (281) 496-0689

2677 Wilcrest Dr
Houston, TX 77042
Phone (713) 977-1170

9620 Westheimer Rd
Houston, TX 77063
Phone (713) 636-5392

11805 Westheimer Rd
Houston, TX 77077
Phone (281) 496-3937

4725 Highway 6
Missouri City, TX 77459
Phone (281) 261-2647

2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020

670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466

21195 Kuykendahl Rd
Spring, TX 77379
Phone (281) 370-4444

16200 City Walk
Sugar Land, TX 77479
Phone (281) 265-2000

15337 Southwest Fwy
Sugar Land, TX 77478
Phone (281) 242-2020

Organizations & group practices 6

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1508874009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 GRAY FALLS DR STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776525",
            "telephone_number": "281-556-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9620 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633205",
            "telephone_number": "713-975-9393",
            "fax_number": "713-975-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TO",
        "first_name": "KIM",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6779TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1843310-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184331003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1843310-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.