Individual provider Active NPI

Thi Khoa Nguyen, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1720410459
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8259 Issued in TX
Practice address
6301 W Parmer LN Ste 604
Austin, TX 78729-6807
Phone
(512) 953-8178
Fax
(512) 521-0666
NPI assigned
Aug 5, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8259 TX Primary

Addresses

Primary practice location

6301 W Parmer LN Ste 604
Austin, TX 78729-6807

Mailing address

6301 W Parmer LN Ste 604
Austin, TX 78729-6807
Phone (512) 953-8178

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
I20161004002082 TX Practitioner - Optometry 8325336589 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8259TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Eyes PLLC Optometrist CurrentSince Dec 28, 2021 Accepting new patients
Eye Clinic of Austin PLLC Optometrist Past Accepting new patients

Locations

6301 W Parmer Ln
Ste 604
Austin, TX 78729
Phone (512) 953-8178

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1720410459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 W PARMER LN STE 604",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787296807",
            "telephone_number": "512-953-8178",
            "fax_number": "512-521-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 W PARMER LN STE 604",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787296807",
            "telephone_number": "512-953-8178",
            "fax_number": "512-521-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THI",
        "middle_name": "KHOA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.