Individual provider Active NPI

Quyen Ngo Nguyen, OPTICIAN

  • Optician
  • Katy, TX
National Provider Identifier
1568095271
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
138517 Issued in TX
Practice address
1830 S Mason Rd Ste 125
Katy, TX 77450-3240
Phone
(281) 395-0056
Fax
(281) 395-0058
NPI assigned
Feb 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 138517 TX Primary

Addresses

Primary practice location

1830 S Mason Rd Ste 125
Katy, TX 77450-3240

Mailing address

1830 S Mason Rd Ste 125
Katy, TX 77450-3240
Phone (281) 395-0056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
138517TXMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Spec LLC CurrentSince Jan 29, 2023 Accepting new patients
N& N Visionaries LLC PastSince Feb 23, 2020 Accepting new patients

Locations

1830 S Mason Rd
Ste 125
Katy, TX 77450
Phone (281) 395-0056

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": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1568095271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S MASON RD STE 125",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503240",
            "telephone_number": "281-395-0056",
            "fax_number": "281-395-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S MASON RD STE 125",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503240",
            "telephone_number": "281-395-0056",
            "fax_number": "281-395-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "QUYEN",
        "middle_name": "NGO",
        "name_prefix": "Mrs.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "TX",
            "license": "138517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.