Active NPI
Quyen Cao Nguyen, O.D.
- Optometrist
- El Paso, TX
National Provider Identifier
1700842739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6670 T
- Practice address
- 8401 Gateway Blvd W
El Paso, TX 79925-5668 - Phone
- (915) 775-4916
- NPI assigned
- Apr 26, 2006
- Last updated
- Mar 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12765 T | CA | |
| Optometrist | 152W00000X | 6670 T | TX | Primary |
| Optometrist | 152W00000X | 0618001554 | VA |
Addresses
Primary practice location
8401 Gateway Blvd W
El Paso, TX 79925-5668
Mailing address
PO Box 6256
El Paso, TX 79906-0256
Phone (714) 235-4200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0127650 | Medicaid | CA | |
| 613879 | Other | TX | TRAILBLAZER - MEDICARE |
| 0060RN | Other | TX | BLUECROSS BLUESHIELD OF TEXAS |
| SD0127650 | Other | CA | BLUE SHIELD OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12765 T | CA | MD | Optometrist |
| 6670 T | TX | MD | Optometrist |
| 0618001554 | VA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1700842739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6256",
"city": "EL PASO",
"state": "TX",
"postal_code": "799060256",
"telephone_number": "714-235-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 GATEWAY BLVD W",
"city": "EL PASO",
"state": "TX",
"postal_code": "799255668",
"telephone_number": "915-775-4916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "QUYEN",
"middle_name": "CAO",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12765 T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6670 T",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001554",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0127650",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAILBLAZER - MEDICARE",
"identifier": "613879",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD OF TEXAS",
"identifier": "0060RN",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "SD0127650",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.