Organization Active NPI

Anny Nguyen OD PLLC

  • Optometrist
  • Wylie, TX
National Provider Identifier
1518230549
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7727TG Issued in TX
Legal business name
ANNY NGUYEN OD PLLC
Doing business as
Woodbridge Eyecare
Practice address
3460 W FM 544
Suite 550
Wylie, TX 75098-9408
Phone
(972) 429-3501
Fax
(972) 442-4916
NPI assigned
Feb 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Dr. Anny Nguyen, O.D.NPI 1366739559
Title
Optometrist
Phone
(469) 585-4398

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 7727TG TX Primary

Addresses

Primary practice location

3460 W FM 544
Suite 550
Wylie, TX 75098-9408

Mailing address

3460 W FM 544
Suite 550
Wylie, TX 75098-9408
Phone (972) 429-3501

Other names 1

  • Woodbridge Eyecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120404000406 TX Part B Supplier - Clinic/Group Practice 5597925222 Receives reassigned benefits from 1 practitioner
Practice locations: Wylie, TX

National Provider Directory

National Provider Directory
Tax ID family
Anny Nguyen OD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3460 W FM 544
Ste 550
Wylie, TX 75098
Phone (972) 429-3501

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": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1518230549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 W FM 544",
            "address_2": "SUITE 550",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750989408",
            "telephone_number": "972-429-3501",
            "fax_number": "972-442-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 W FM 544",
            "address_2": "SUITE 550",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750989408",
            "telephone_number": "972-429-3501",
            "fax_number": "972-442-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNY NGUYEN OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANNY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "469-585-4398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7727TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbridge Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.