Organization Active NPI

Dynamic Eyecare PA

  • Optometrist
  • Houston, TX
National Provider Identifier
1649505801
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
06780TG Issued in TX
Legal business name
DYNAMIC EYECARE PA
Practice address
9598 Rowlett Rd
Houston, TX 77075-2414
Phone
(713) 947-3771
Fax
(713) 947-3772
NPI assigned
Oct 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Dr. Charlie Huy Nguyen, O.D.NPI 1427232404
Title
Owner
Phone
(832) 282-2182

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 06780TG TX Primary

Addresses

Primary practice location

9598 Rowlett Rd
Houston, TX 77075-2414

Mailing address

11710 Dumas St
Houston, TX 77034-3694
Phone (713) 947-3771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110728000063 TX Part B Supplier - Clinic/Group Practice 0648448118 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

9598 Rowlett Rd
Houston, TX 77075
Phone (713) 947-3771

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": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1649505801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11710 DUMAS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770343694",
            "telephone_number": "713-947-3771",
            "fax_number": "713-947-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9598 ROWLETT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770752414",
            "telephone_number": "713-947-3771",
            "fax_number": "713-947-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC EYECARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_middle_name": "HUY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-282-2182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06780TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.