Individual provider Active NPI

Elizabeth T Nguyen, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1699817635
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6947T Issued in TX
Practice address
8202 N Loop 1604 W
Ste 105
San Antonio, TX 78249-2897
Phone
(210) 691-4733
NPI assigned
Feb 13, 2007
Last updated
Jul 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6947T TX Primary

Addresses

Primary practice location

8202 N Loop 1604 W
Ste 105
San Antonio, TX 78249-2897

Mailing address

8202 N Loop 1604 W
Ste 105
San Antonio, TX 78249-2897
Phone (210) 691-4733

Other practice location 1

9822 Potranco Rd Ste 111
San Antonio, TX 78251-9608
Phone (210) 691-4733 ext. 2

Other names 1

  • Dr. Elizabeth T Nguyen Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@eye-dealvision.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070730000146 TX Practitioner - Optometry 4688775034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye-Deal Vision, P.a.Group PAC ID 6406882083, 2 clinicians

Practice addresses (Care Compare)

8202 N Loop 1604
Suite 105
San Antonio, TX 78249-2898
Phone (210) 691-4733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6947TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brownwood Optometrists, P.C. Optometrist CurrentSince Dec 22, 2023 Accepting new patients
Belton Eye Care Center Optometrist Past Accepting new patients
Jacob Family Eye Care PLLC Optometrist PastSince Dec 22, 2023 Accepting new patients
Buda Vision Source PLLC Optometrist Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1699817635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 N LOOP 1604 W",
            "address_2": "STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492897",
            "telephone_number": "210-691-4733",
            "fax_number": "210-691-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 N LOOP 1604 W",
            "address_2": "STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492897",
            "telephone_number": "210-691-4733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9822 Potranco Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782519608",
            "country_code": "US",
            "telephone_number": "210-691-4733 x2",
            "fax_number": "210-681-4735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ELIZABETH",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6947T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@eye-dealvision.com",
            "affiliation": "N",
            "endpointDescription": "mailbox monitored by several people",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8202 N Loop 1604 W",
            "address_2": "Ste 105",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782492897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "NGUYEN",
            "middle_name": "T",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.