Individual provider Active NPI

Mary Thuy Nguyen

  • Optometrist
  • Rockwall, TX
National Provider Identifier
1578041265
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9581TG Issued in TX
Practice address
2827 Ridge Rd
Rockwall, TX 75032-5528
Phone
(972) 722-4301
Fax
(972) 722-7560
NPI assigned
Aug 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9581TG TX Primary

Addresses

Primary practice location

2827 Ridge Rd
Rockwall, TX 75032-5528

Mailing address

2827 Ridge Rd
Rockwall, TX 75032-5528
Phone (972) 722-4301

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
I20180830000096 TX Practitioner - Optometry 1254681968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9581TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary T Nguyen, PLLC Optometrist Current Accepting new patients

Locations

2827 Ridge Rd
Rockwall, TX 75032
Phone (972) 722-4301

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": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1578041265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 RIDGE RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325528",
            "telephone_number": "972-722-4301",
            "fax_number": "972-722-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 RIDGE RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325528",
            "telephone_number": "972-722-4301",
            "fax_number": "972-722-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MARY",
        "middle_name": "THUY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9581TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.