Img Eyecare PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

8319 Issued in TX

Legal business name

IMG EYECARE PLLC

Doing business as

IMG Family Eyecare

Practice address

5405 S Rice Ave
Houston, TX 77081-2113

Phone

(713) 955-2015

NPI assigned

Jul 29, 2015

Last updated

Sep 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tri NguyenNPI 1356696165

Title

Owner

Phone

(713) 955-2015

Specialties & licenses 1

Addresses

Other names 1

• IMG Family Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tri Nguyen, OD

  • Optometrist
  • Houston, TX
  • NPI 1356696165
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1740665801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 S RICE AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812113",
            "telephone_number": "713-955-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 S RICE AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812113",
            "telephone_number": "713-955-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMG EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-955-2015"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMG Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Houston, TX
• Providers in Houston, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.