Individual provider Active NPI

Lucas Huy Mai Nguyen

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1619719655
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11146 Issued in TX
Practice address
9725 Datapoint Dr Ste 106
San Antonio, TX 78229-2385
Phone
(210) 585-2020
NPI assigned
Jun 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11146 TX Primary

Addresses

Primary practice location

9725 Datapoint Dr Ste 106
San Antonio, TX 78229-2385

Mailing address

8010 Serenity CT
Houston, TX 77025-2895
Phone (832) 563-8926

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
I20241107000518 TX Practitioner - Optometry 1951835420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refractive Surgery and Diagnostic Center PLLCGroup PAC ID 5496995367, 12 clinicians

Practice addresses (Care Compare)

9725 Datapoint Dr
Suite 106
San Antonio, TX 78229-2385
Phone (210) 615-9358

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11146TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Refractive Surgery & Diagnostic Center PLLC Optometrist CurrentSince Aug 7, 2024 Accepting new patients
Anestexia LLC CurrentSince Jun 16, 2024 Accepting new patients

Locations

266 Landa St
Ste 105
New Braunfels, TX 78130
Phone (210) 585-2020

9725 Datapoint Dr
Ste 106
San Antonio, TX 78229
Phone (210) 585-2020

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": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1619719655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 SERENITY CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770252895",
            "telephone_number": "832-563-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 DATAPOINT DR STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292385",
            "telephone_number": "210-585-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LUCAS",
        "middle_name": "HUY MAI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.