Individual provider Active NPI

Nicole Nguyen-Phuoc, OD

  • Optometrist
  • Cypress, TX
National Provider Identifier
1548942006
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10912 Issued in TX
Practice address
16700 House Hahl Rd BLDG 7
Cypress, TX 77433-6349
Phone
(281) 550-4141
NPI assigned
Aug 3, 2023
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10912 TX Primary

Addresses

Primary practice location

16700 House Hahl Rd BLDG 7
Cypress, TX 77433-6349

Mailing address

1095 Brittmoore Rd Apt 1227
Houston, TX 77043-5059
Phone (405) 464-9960

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
I20240222003437 TX Practitioner - Optometry 3577907096 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iluvicare PLLCGroup PAC ID 4587091707, 2 clinicians

Practice addresses (Care Compare)

7710 Fry Rd
Suite 600
Cypress, TX 77433-7335
Phone (832) 974-2021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10912TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Iluvicare, PLLC Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Cypress Family Eyecare, PLLC Optometrist CurrentSince Jan 25, 2024 Accepting new patients
PV Richmond, PLLC Optometrist CurrentSince Aug 1, 2024 Accepting new patients

Locations

16700 House Hahl Rd
Bldg 7
Cypress, TX 77433
Phone (281) 550-4141

7710 Fry Rd
Ste 600
Cypress, TX 77433
Phone (832) 607-2055

7101 W Grand Pkwy S
Ste 170
Richmond, TX 77407
Phone (713) 364-3738

Organizations & group practices 3

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1548942006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 BRITTMOORE RD APT 1227",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770435059",
            "telephone_number": "405-464-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16700 HOUSE HAHL RD BLDG 7",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336349",
            "telephone_number": "281-550-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN-PHUOC",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.