Active NPI
Phuong-Anh Thi Nguyen, O.D.
- Optometrist
- Pearland, TX
National Provider Identifier
1730267253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5587 TG
- Practice address
- 10420 Broadway St Ste C
Pearland, TX 77584-7852 - Phone
- (281) 992-5888
- Fax
- (713) 436-5154
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5587 TG | TX | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 5587 TG | TX |
Addresses
Primary practice location
10420 Broadway St Ste C
Pearland, TX 77584-7852
Mailing address
10420 Broadway St Ste C
Pearland, TX 77584-7852
Phone (281) 992-5888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P081034E4 | Medicaid | TX |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5587 TG | TX | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anh Lam, PA | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218412800000",
"number": "1730267253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10420 BROADWAY ST STE C",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847852",
"telephone_number": "281-992-5888",
"fax_number": "713-436-5154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10420 BROADWAY ST STE C",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847852",
"telephone_number": "281-992-5888",
"fax_number": "713-436-5154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "PHUONG-ANH",
"middle_name": "THI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2008-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5587 TG",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "5587 TG",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P081034E4",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.