Organization Active NPI

Jessica U Nguyen OD PC

  • Optometrist
  • Mesquite, TX
National Provider Identifier
1629409149
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6948TG Issued in TX
Legal business name
JESSICA U NGUYEN OD PC
Practice address
2124 Town East Mall
Mesquite, TX 75150-4119
Phone
(972) 613-3581
Fax
(972) 279-1829
NPI assigned
Dec 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Authorized official

Name
Dr. Jessica Uyen Nguyen, O.D.
Title
Owner
Phone
(972) 613-3581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6948TG TX Primary

Addresses

Primary practice location

2124 Town East Mall
Mesquite, TX 75150-4119

Mailing address

2124 Town East Mall
Mesquite, TX 75150-4119
Phone (972) 613-3581

Other names 1

  • TOWN EAST VISION CARE Doing business as

National Provider Directory

National Provider Directory

Locations

2124 Town East Mall
Mesquite, TX 75150
Phone (972) 270-3345

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1629409149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 TOWN EAST MALL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504119",
            "telephone_number": "972-613-3581",
            "fax_number": "972-279-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 TOWN EAST MALL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504119",
            "telephone_number": "972-613-3581",
            "fax_number": "972-279-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA U NGUYEN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "UYEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-613-3581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6948TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOWN EAST VISION CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.