Individual provider Active NPI

Joanne Nguyen, OD

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1710660964
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11142T Issued in TX
Practice address
9429 N Beach St
Fort Worth, TX 76244-9059
Phone
(817) 442-2020
Fax
(682) 499-3856
NPI assigned
Aug 14, 2023
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003528 GA
Optometrist 152W00000X 11142T TX Primary

Addresses

Primary practice location

9429 N Beach St
Fort Worth, TX 76244-9059

Mailing address

9429 N Beach St
Fort Worth, TX 76244-9059
Phone (817) 442-2020

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
I20240913000931 TX Practitioner - Optometry 0345780540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texan Eye, PAGroup PAC ID 2466440458, 18 clinicians

Practice addresses (Care Compare)

5717 Balcones Dr
Austin, TX 78731-4203
Phone (512) 327-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003528GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Texan Eye, P.a. CurrentSince Sep 4, 2025 Accepting new patients
Texan Eye, PA Optometrist Current Accepting new patients
Texan Eye, PA Optometrist CurrentSince Sep 4, 2025 Accepting new patients
Eye Clinic of Austin PLLC Optometrist Past Accepting new patients
Texan Eye, PA Past Accepting new patients
Alliance Retina of Texas, PLLC PastSince Sep 1, 2024 Accepting new patients
Texan Eye, PA Optometrist Past Accepting new patients
Texan Eye, PA Past Accepting new patients

Locations

5717 Balcones Dr
Austin, TX 78731
Phone (512) 314-1613

7000 N Mopac Expy
Ste 145
Austin, TX 78731

85 Loop 150 W
Bastrop, TX 78602
Phone (512) 303-7300

925 Starwood Dr
Cedar Park, TX 78613

Organizations & group practices 8

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": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1710660964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9429 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449059",
            "telephone_number": "817-442-2020",
            "fax_number": "682-499-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9429 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449059",
            "telephone_number": "817-442-2020",
            "fax_number": "682-499-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2024-09-26",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003528",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11142T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.