Individual provider Active NPI

Diem Thuy Hong Nguyen, OD

  • Optometrist
  • Colleyville, TX
National Provider Identifier
1609895093
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05785TG Issued in TX
Practice address
33 Main St Ste 180
Colleyville, TX 76034-2983
Phone
(817) 605-6060
Fax
(817) 656-5050
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05785TG TX Primary

Addresses

Primary practice location

33 Main St Ste 180
Colleyville, TX 76034-2983

Mailing address

33 Main St Ste 180
Colleyville, TX 76034-2983
Phone (817) 605-6060

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
I20050819000765 TX Practitioner - Optometry 6406886399 Practice locations: Colleyville, TX; Fort Worth, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9180 N Fwy 516
Fort Worth, TX 76177-7649

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05785TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Idoc Optical,PA Past Accepting new patients
Eyes on Main Street, PA Optometrist Past Accepting new patients

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1609895093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MAIN ST STE 180",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760342983",
            "telephone_number": "817-605-6060",
            "fax_number": "817-656-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MAIN ST STE 180",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760342983",
            "telephone_number": "817-605-6060",
            "fax_number": "817-656-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DIEM THUY",
        "middle_name": "HONG",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05785TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

Verify at the official NPI Registry.