Individual provider Active NPI

Audrey Nguyen, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1730251679
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7050TG Issued in TX
Practice address
12161 Westheimer Rd
Ste 200
Houston, TX 77077
Phone
(281) 496-4774
Fax
(281) 496-4782
NPI assigned
Nov 15, 2006
Last updated
Dec 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7050TG TX Primary

Addresses

Primary practice location

12161 Westheimer Rd
Ste 200
Houston, TX 77077

Mailing address

12161 Westheimer Rd #200
Houston, TX 77077-1746
Phone (281) 496-4774

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
I20120118000750 TX Practitioner - Optometry 1759301187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuan X. Du, OD, PLLCGroup PAC ID 7113194960, 2 clinicians

Practice addresses (Care Compare)

12161 Westheimer Rd
Suite 200
Houston, TX 77077-6963
Phone (281) 496-4774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7050TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tuan X. Du, OD, PLLC Optometrist CurrentSince Oct 19, 2011 Accepting new patients

Locations

1000 W Oaks Mall
#136
Houston, TX 77082
Phone (281) 496-4774

12161 Westheimer Rd
Ste 200
Houston, TX 77077
Phone (281) 496-4774

Organizations & group practices 1

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1730251679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12161 WESTHEIMER RD #200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771746",
            "telephone_number": "281-496-4774",
            "fax_number": "281-496-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12161 WESTHEIMER RD",
            "address_2": "STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77077",
            "telephone_number": "281-496-4774",
            "fax_number": "281-496-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "AUDREY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7050TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.