Individual provider Active NPI

Kristina Ngoc-Thuy Nhan, OD

  • Optometrist
  • Plano, TX
National Provider Identifier
1558848648
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9498T Issued in TX
Practice address
1900 Preston Rd Ste 265
Plano, TX 75093-5203
Phone
(972) 519-0006
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9498T TX Primary

Addresses

Primary practice location

1900 Preston Rd Ste 265
Plano, TX 75093-5203

Mailing address

1900 Preston Rd Ste 265
Plano, TX 75093-5203
Phone (972) 519-0006

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
I20190703002267 TX Practitioner - Optometry 3274868765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyes on Preston Park PLLCGroup PAC ID 2860876927, 2 clinicians

Practice addresses (Care Compare)

1900 Preston Rd
Suite 265
Plano, TX 75093-5203
Phone (972) 519-0006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9498TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Preston Park PLLC Optometrist CurrentSince Sep 26, 2022 Accepting new patients

Locations

1900 Preston Rd
Ste 265
Plano, TX 75093
Phone (972) 519-0006

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1558848648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 PRESTON RD STE 265",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935203",
            "telephone_number": "972-519-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PRESTON RD STE 265",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935203",
            "telephone_number": "972-519-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NHAN",
        "first_name": "KRISTINA",
        "middle_name": "NGOC-THUY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9498T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.