Organization Active NPI

Robert Thuan Nguyen, OD, PA

Doing business as Kleinwood Vision

  • Optometrist
  • Spring, TX
National Provider Identifier
1619165479
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6459TG Issued in TX
Legal business name
ROBERT THUAN NGUYEN, OD, PA
Doing business as
Kleinwood Vision
Practice address
7312 Louetta Rd
Suite B116
Spring, TX 77379-6175
Phone
(832) 717-0900
Fax
(832) 717-0908
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Dr. Robert Nguyen, O.D.NPI 1427066398
Title
Optometrist
Phone
(832) 717-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6459TG TX Primary

Addresses

Primary practice location

7312 Louetta Rd
Suite B116
Spring, TX 77379-6175

Mailing address

7312 Louetta Rd
Suite B116
Spring, TX 77379-6175
Phone (832) 717-0900

Other identifiers 1

IdentifierTypeStateIssuer
171840501MedicaidTX

Other names 1

  • Kleinwood Vision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041112000241 TX Part B Supplier - Clinic/Group Practice 3779547526 Receives reassigned benefits from 1 practitioner
Practice locations: Spring, TX

National Provider Directory

National Provider Directory
Tax ID family
Kleinwood Vision2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7312 Louetta Rd
Ste B116
Spring, TX 77379
Phone (281) 827-3538

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1619165479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7312 LOUETTA RD",
            "address_2": "SUITE B116",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773796175",
            "telephone_number": "832-717-0900",
            "fax_number": "832-717-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7312 LOUETTA RD",
            "address_2": "SUITE B116",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773796175",
            "telephone_number": "832-717-0900",
            "fax_number": "832-717-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT THUAN NGUYEN, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "832-717-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6459TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171840501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kleinwood Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.