Individual provider Active NPI

Jessica Ngoc Vien, OD

  • Optometrist
  • Katy, TX
National Provider Identifier
1831759620
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9707 Issued in TX
Practice address
1245 Fry Rd Ste a
Katy, TX 77449-3431
Phone
(832) 242-2020
Fax
(281) 398-1110
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9707 TX Primary

Addresses

Primary practice location

1245 Fry Rd Ste a
Katy, TX 77449-3431

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20191004001809 TX Practitioner - Optometry 9537490529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLC 234 clinicians

Practice addresses (Care Compare)

1534 W Grand Pkwy S
Katy, TX 77494-8257
Phone (281) 693-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9707TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Nov 22, 2021 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Nov 22, 2021 Accepting new patients

Locations

9950 Katy Fwy
Ste A
Houston, TX 77055
Phone (713) 334-2020

805 Walker St
Houston, TX 77002
Phone (713) 654-0042

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

4850 Main St
Houston, TX 77002
Phone (713) 523-5109

4400 North Fwy
Ste B300
Houston, TX 77022
Phone (713) 697-2081

365 Greens Rd
Houston, TX 77060
Phone (281) 875-6800

1245 Fry Rd
Ste A
Katy, TX 77449
Phone (713) 752-2020

23702 Westheimer Pkwy
Ste C
Katy, TX 77494
Phone (281) 391-2020

4011 FM 1463 Rd
Katy, TX 77494
Phone (281) 644-2020

1534 W Grand Pkwy S
Katy, TX 77494
Phone (281) 693-3937

3405 Spencer Hwy
Pasadena, TX 77504
Phone (713) 946-9300

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1831759620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 FRY RD STE A",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774493431",
            "telephone_number": "832-242-2020",
            "fax_number": "281-398-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEN",
        "first_name": "JESSICA",
        "middle_name": "NGOC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.