NPIMap

Organization Active NPI

Eyes on Main Street, PA

  • Optometrist
  • Colleyville, TX
National Provider Identifier
1740565407
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05785TG Issued in TX
Legal business name
EYES ON MAIN STREET, PA
Practice address
33 Main St Ste 180
Colleyville, TX 76034-2983
Phone
(817) 605-6060
Fax
(817) 656-5050
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Dr. Diem Thuy Hong Nguyen, O.D.NPI 1609895093
Title
President
Phone
(817) 605-6060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 05785TG TX Primary

Addresses

Primary practice location

33 Main St Ste 180
Colleyville, TX 76034-2983

Mailing address

33 Main St Ste 180
Colleyville, TX 76034-2983
Phone (817) 605-6060

National Provider Directory

National Provider Directory

Locations

33 Main St
Ste 180
Colleyville, TX 76034
Phone (817) 605-6060

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1740565407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MAIN ST STE 180",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760342983",
            "telephone_number": "817-605-6060",
            "fax_number": "817-656-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MAIN ST STE 180",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760342983",
            "telephone_number": "817-605-6060",
            "fax_number": "817-656-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON MAIN STREET, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DIEM THUY",
        "authorized_official_middle_name": "HONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-605-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05785TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.