Individual provider Active NPI

Regina Thuy Vy Nguyen, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1619131869
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7262TG Issued in TX
Practice address
14870 Space Center Blvd
Suite H
Houston, TX 77062-2368
Phone
(281) 984-7515
Fax
(302) 394-1563
NPI assigned
Jul 16, 2008
Last updated
Jul 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7262TG TX Primary

Addresses

Primary practice location

14870 Space Center Blvd
Suite H
Houston, TX 77062-2368

Mailing address

14870 Space Center Blvd
Suite H
Houston, TX 77062-2368
Phone (281) 984-7515

Other identifiers 1

IdentifierTypeStateIssuer
317064901MedicaidTX

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
I20100715000629 TX Practitioner - Optometry 1456483155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14870 Space Ctr Blvd
Suite H
Houston, TX 77062-2351
Phone (281) 984-7515

14870 Space Ctr Blvd H
Houston, TX 77062-2351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optical Edge Optometrist CurrentSince Sep 7, 2015 Accepting new patients
PNZ Place Tso PC Optometrist Past Accepting new patients

Locations

14870 Space Center Blvd
Ste H
Houston, TX 77062
Phone (281) 984-7515

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1619131869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14870 SPACE CENTER BLVD",
            "address_2": "SUITE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622368",
            "telephone_number": "281-984-7515",
            "fax_number": "302-394-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14870 SPACE CENTER BLVD",
            "address_2": "SUITE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622368",
            "telephone_number": "281-984-7515",
            "fax_number": "302-394-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "REGINA",
        "middle_name": "THUY VY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7262TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317064901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.