Individual provider Active NPI

Nghiem Duong, O.D.

  • Optometrist
  • Richardson, TX
National Provider Identifier
1568818953
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9037TG Issued in TX
Practice address
4150 E Renner Rd # 300
Richardson, TX 75082-2816
Phone
(972) 250-0700
NPI assigned
May 4, 2016
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9037TG TX Primary

Addresses

Primary practice location

4150 E Renner Rd # 300
Richardson, TX 75082-2816

Mailing address

4150 E Renner Rd # 300
Richardson, TX 75082-2816
Phone (972) 250-0700

Other practice location 1

13739 N Central Expy
Dallas, TX 75243-1003
Phone (214) 575-2020

Other identifiers 1

IdentifierTypeStateIssuer
370923001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, 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
I20160910000155 OK Practitioner - Optometry 7315233764
I20170724003098 TX Practitioner - Optometry 7315233764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Van Alstyne Eye Care PLLCGroup PAC ID 3870903610, 3 clinicians
Knguyen Eyecare PLLCGroup PAC ID 0244531242, 2 clinicians

Practice addresses (Care Compare)

1284 W Van Alstyne Pkwy
Van Alstyne, TX 75495-4390
Phone (903) 482-0090

4150 E Renner Rd
Richardson, TX 75082-2819
Phone (972) 250-0700

4150 E Renner Rd
Suite 300 Perception Eyecare and Eyewear
Richardson, TX 75082-2832

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9037TXMDProfessional Counselor
9037TGTXMDOptometrist
2883OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Knguyen Eyecare, PLLC Optometrist CurrentSince Feb 27, 2019 Accepting new patients
Van Alstyne Eye Care PLLC Optometrist CurrentSince Mar 18, 2023 Accepting new patients

Locations

4150 E Renner Rd
Ste 300
Richardson, TX 75082
Phone (972) 250-0700

1284 W Van Alstyne Pkwy
Van Alstyne, TX 75495
Phone (903) 482-0090

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, 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": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1568818953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 E RENNER RD # 300",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822816",
            "telephone_number": "972-250-0700",
            "fax_number": "303-800-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 E RENNER RD # 300",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822816",
            "telephone_number": "972-250-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13739 N Central Expy",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752431003",
            "country_code": "US",
            "telephone_number": "214-575-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUONG",
        "first_name": "NGHIEM",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9037TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370923001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.