Individual provider Active NPI

Quang Duy Nguyen, O.D.

  • Optometrist
  • Grand Prairie, TX
National Provider Identifier
1801936463
Registry record updated Nov 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6017T Issued in TX
Practice address
4620 Friars LN
Grand Prairie, TX 75052-3609
Phone
(832) 668-4417
Fax
(972) 237-0797
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6017T TX Primary

Addresses

Primary practice location

4620 Friars LN
Grand Prairie, TX 75052-3609

Mailing address

4620 Friars LN
Grand Prairie, TX 75052-3609
Phone (832) 668-4417

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
I20140415002011 TX Practitioner - Optometry 6406088962 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6017TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Colston Eye Care, PLLC Optometrist CurrentSince Feb 14, 2023 Accepting new patients
Optometric Associates of Texas P.a. Optometrist CurrentSince May 7, 2018 Accepting new patients
Q. D. Nguyen PLLC Past Accepting new patients
Ta Eye Associates, PLLC Optometrist Past Accepting new patients

Locations

3811 S Cooper St
Ste 2310
Arlington, TX 76015
Phone (817) 385-1111

1201 Barbara Jordan Blvd
Ste 1480
Austin, TX 78723
Phone (512) 320-1968

130 NW John Jones Dr
Ste 216A
Burleson, TX 76028
Phone (817) 295-0100

4800 S Hulen St
Ste 1520
Ft Worth, TX 76132
Phone (817) 292-3977

3150 E Broad St
Ste 120
Mansfield, TX 76063
Phone (817) 301-5745

Organizations & group practices 4

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353715200000",
    "number": "1801936463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 FRIARS LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523609",
            "telephone_number": "832-668-4417",
            "fax_number": "972-237-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 FRIARS LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523609",
            "telephone_number": "832-668-4417",
            "fax_number": "972-237-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "QUANG",
        "middle_name": "DUY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6017T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.