Individual provider Active NPI

Lynda Nguyen, OD

  • Optometrist
  • McKinney, TX
National Provider Identifier
1720500804
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9203TG Issued in TX
Practice address
3041 S Custer Rd
Suite 400
McKinney, TX 75070
Phone
(972) 954-9595
NPI assigned
Jul 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9203TG TX Primary

Addresses

Primary practice location

3041 S Custer Rd
Suite 400
McKinney, TX 75070

Mailing address

15480 Dallas Pkwy Apt 4111
Dallas, TX 75248-4993

Other practice location 1

15480 Dallas Pkwy Apt 4111
Dallas, TX 75248-4993
Phone (972) 954-9595

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
I20191118002875 TX Practitioner - Optometry 6800160292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3041 S Custer Rd
Suite 400
McKinney, TX 75070-9199
Phone (972) 954-9595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9203TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lynda Nguyen OD PLLC Optometrist CurrentSince Aug 20, 2019 Accepting new patients
Healthcare Eye Clinic Inc. PastSince Aug 10, 2017 Accepting new patients

Locations

3041 S Custer Rd
Ste 400
McKinney, TX 75070
Phone (972) 954-9595

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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1720500804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15480 DALLAS PKWY APT 4111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 S CUSTER RD",
            "address_2": "SUITE 400",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75070",
            "telephone_number": "972-954-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15480 Dallas Pkwy Apt 4111",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752484993",
            "country_code": "US",
            "telephone_number": "972-954-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LYNDA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9203TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.