Organization Active NPI

Spectrum Vision, PLLC

  • Optometrist
  • Denton, TX
National Provider Identifier
1639482615
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7095TG Issued in TX
Legal business name
SPECTRUM VISION, PLLC
Practice address
2201 S I-35 E Ste D
Denton, TX 76205-8191
Phone
(940) 591-7701
Fax
(888) 398-3803
NPI assigned
Jul 20, 2010
Last updated
Jul 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Authorized official

Name
Dr. VI Tuong Nguyen, O.D.NPI 1063682987
Title
Optometrist
Phone
(972) 369-2064

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
Optometrist 152W00000X 7095TG TX Primary

Addresses

Primary practice location

2201 S I-35 E Ste D
Denton, TX 76205-8191

Mailing address

1001 Lucy LN
Allen, TX 75013-6398
Phone (972) 369-2064

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110118000371 TX Part B Supplier - Clinic/Group Practice 0143419440 Receives reassigned benefits from 1 practitioner
Practice locations: Denton, TX

National Provider Directory

National Provider Directory

Locations

1801 S Loop 288
Denton, TX 76205
Phone (940) 220-2122

2201 S Interstate 35 E
Ste D
Denton, TX 76205
Phone (940) 591-7701

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1639482615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LUCY LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136398",
            "telephone_number": "972-369-2064",
            "fax_number": "888-398-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S I-35 E STE D",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762058191",
            "telephone_number": "940-591-7701",
            "fax_number": "888-398-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM VISION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VI",
        "authorized_official_middle_name": "TUONG",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "972-369-2064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7095TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.