Individual provider Active NPI

Tiffany Nguyen, OD

  • Optometrist
  • Lafayette, LA
National Provider Identifier
1548098197
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2040-986AT Issued in LA
Practice address
201 Meadow Farm Rd
Lafayette, LA 70508-7277
Phone
(337) 541-7040
NPI assigned
Jul 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2040-986AT LA Primary

Addresses

Primary practice location

201 Meadow Farm Rd
Lafayette, LA 70508-7277

Mailing address

108 Timber Bark Rd
Lafayette, LA 70508-1858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240822002492 LA Practitioner - Optometry 5799224762 Reassigns benefits to 1 organization
I20250310002940 TX Practitioner - Optometry 5799224762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Signature Eye Care, P.a.Group PAC ID 0244365799, 7 clinicians

Practice addresses (Care Compare)

2071 Cypress Creek Rd
Cedar Park, TX 78613-3622
Phone (512) 250-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2040-986ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolyn Van OD & Associates, LLC Optometrist CurrentSince Aug 7, 2024 Accepting new patients
Signature Eye Care, P.a. Optometrist CurrentSince Mar 1, 2025 Accepting new patients

Locations

201 Meadow Farm Rd
Lafayette, LA 70508
Phone (337) 541-7035

2071 Cypress Creek Rd
Cedar Park, TX 78613
Phone (512) 250-1700

2071 Cypress Creek Rd
Ofc
Cedar Park, TX 78613

Organizations & group practices 2

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": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1548098197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 TIMBER BARK RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705081858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MEADOW FARM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087277",
            "telephone_number": "337-541-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TIFFANY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "2040-986AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.