Id Vision Center PLLC

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

05739TG Issued in TX

Legal business name

ID VISION CENTER PLLC

Doing business as

iDesign Vision Center

Practice address

17454 Northwest Fwy
Houston, TX 77040-1002

Phone

(281) 372-6686

Fax

(888) 876-6445

NPI assigned

Mar 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Hanh MK Nguyen, O.D

Title

Doctor of Optometry/ Owner

Phone

(281) 372-6686

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• iDesign Vision Center Doing business as

Locations

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1649594250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17454 NORTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770401002",
            "telephone_number": "281-372-6686",
            "fax_number": "888-876-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17454 NORTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770401002",
            "telephone_number": "281-372-6686",
            "fax_number": "888-876-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ID VISION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HANH",
        "authorized_official_middle_name": "MK",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY/ OWNER",
        "authorized_official_telephone_number": "281-372-6686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "05739TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "05739TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iDesign Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Vision Therapy Optometrist in Houston, TX
• Providers in Houston, TX by specialty
• Vision Therapy Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.