Individual provider Active NPI

Dalena Michelle Nguyen, OD

  • Optometrist
  • Frisco, TX
National Provider Identifier
1831874577
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10661 Issued in TX
Practice address
3140 Legacy Dr Ste 500
Frisco, TX 75034-8340
Phone
(214) 619-5580
Fax
(214) 619-5581
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10661 TX Primary

Addresses

Primary practice location

3140 Legacy Dr Ste 500
Frisco, TX 75034-8340

Mailing address

PO Box 208904
Dallas, TX 75320-8904
Phone (636) 200-4393

Other practice location 1

7638 Stonebrook Pkwy
Frisco, TX 75034-1003
Phone (972) 712-1010

Other practice location 2

3924 N Tarrant Pkwy
Fort Worth, TX 76244-5410
Phone (817) 514-2114

Other practice location 3

5246 US Highway 377 S
Krugerville, TX 76227-1215
Phone (940) 365-0440

Other practice location 4

5266 Independence Pkwy Ste 150
Frisco, TX 75035-5544
Phone (469) 287-9520

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
I20231012003416 TX Practitioner - Optometry 5799130605 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

1138 Belt Line Rd
Suite 230
Garland, TX 75040-1994
Phone (972) 268-7938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10661TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Mar 30, 2025 Accepting new patients
2020 Eyedr Optometrist CurrentSince Aug 4, 2024 Accepting new patients
Dianne Bui Dao OD PC Optometrist PastSince Apr 24, 2011 Accepting new patients
Woodlands Eyecare Optometrist PastSince Aug 1, 2017 Accepting new patients
My Catholic Doctor, P.L.L.C. PastSince Jun 5, 2023 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
Pope Enterprises PLLC Optometrist Past Accepting new patients

Locations

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

1102 S Friendswood Dr
Ste A
Friendswood, TX 77546
Phone (281) 482-0066

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

1138 Belt Line Rd
Ste 230
Garland, TX 75040
Phone (972) 268-7938

7805 N MacArthur Blvd
Ste 100
Irving, TX 75063
Phone (214) 574-5175

2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020

670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466

1251 E Southlake Blvd
Ste 331
Southlake, TX 76092
Phone (817) 310-0289

Organizations & group practices 8

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": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1831874577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208904",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208904",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 LEGACY DR STE 500",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348340",
            "telephone_number": "214-619-5580",
            "fax_number": "214-619-5581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7638 Stonebrook Pkwy",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750341003",
            "country_code": "US",
            "telephone_number": "972-712-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3924 N Tarrant Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762445410",
            "country_code": "US",
            "telephone_number": "817-514-2114",
            "fax_number": "817-514-2150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5246 US Highway 377 S",
            "address_purpose": "LOCATION",
            "city": "Krugerville",
            "state": "TX",
            "postal_code": "762271215",
            "country_code": "US",
            "telephone_number": "940-365-0440",
            "fax_number": "940-365-0131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5266 Independence Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750355544",
            "country_code": "US",
            "telephone_number": "469-287-9520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DALENA",
        "middle_name": "MICHELLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.