Active NPI
Osmond Octavianus Nguyen
- Optometrist
- Cypress, TX
National Provider Identifier
1629672282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9986T
- Practice address
- 24120 Northwest Fwy Ste 600
Cypress, TX 77429-5951 - Phone
- (281) 758-3084
- NPI assigned
- Nov 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9986T | TX | Primary |
Addresses
Primary practice location
24120 Northwest Fwy Ste 600
Cypress, TX 77429-5951
Mailing address
3663 Washington Ave Apt 6017
Houston, TX 77007-6479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9986T | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1629672282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3663 WASHINGTON AVE APT 6017",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770076479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24120 NORTHWEST FWY STE 600",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774295951",
"telephone_number": "281-758-3084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "OSMOND",
"middle_name": "OCTAVIANUS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "9986T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.