Individual provider Active NPI

Thao Chau Nguyen, O.D.

  • Corneal and Contact Management Optometrist
  • Conroe, TX
National Provider Identifier
1700040912
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
6172T Issued in TX
Practice address
2210 Interstate 45 N
Conroe, TX 77301-1706
Phone
(936) 788-2020
NPI assigned
Jul 16, 2008
Last updated
Oct 26, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6172T TX
Corneal and Contact Management Optometrist 152WC0802X 6172T TX Primary

Addresses

Primary practice location

2210 Interstate 45 N
Conroe, TX 77301-1706

Mailing address

2210 Interstate 45 N
Conroe, TX 77301-1706

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
I20090423000604 TX Practitioner - Optometry 0143378513 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Concepts- Conroe LLC Optometrist CurrentSince Apr 1, 2009 Accepting new patients
Burt a Ginsburg MD PA PastSince Apr 1, 2009 Accepting new patients

Locations

2210 Interstate 45 N
Conroe, TX 77301
Phone (713) 295-1899

Organizations & group practices 2

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1700040912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 INTERSTATE 45 N",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 INTERSTATE 45 N",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011706",
            "telephone_number": "936-788-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THAO",
        "middle_name": "CHAU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6172T",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "6172T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.