Individual provider Active NPI

Hai Hoang Nguyen, O.D.

  • Optometrist
  • Portland, TX
National Provider Identifier
1518270396
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7574TG Issued in TX
Practice address
1702 US Highway 181 Ste A3
Portland, TX 78374-3855
Phone
(832) 419-0773
NPI assigned
Jul 21, 2010
Last updated
Sep 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7574TG TX Primary

Addresses

Primary practice location

1702 US Highway 181 Ste A3
Portland, TX 78374-3855

Mailing address

336 Long Pointe Dr
Portland, TX 78374-4229

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
I20110823000598 TX Practitioner - Optometry 4082884432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Northshore Blvd
Suite a
Portland, TX 78374-4402
Phone (361) 777-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7574TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wavefront Eyecare & Optical PA Optometrist CurrentSince Jun 26, 2011 Accepting new patients

Locations

120 Northshore Blvd
Ste A
Portland, TX 78374

1702 US Highway 181
Ste A3
Portland, TX 78374
Phone (361) 977-2010

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1518270396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 LONG POINTE DR",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783744229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 US HIGHWAY 181 STE A3",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783743855",
            "telephone_number": "832-419-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HAI",
        "middle_name": "HOANG",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-21",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7574TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, TX

Sources for this page

Verify at the official NPI Registry.