Individual provider Active NPI

Mindy Thien-Nga Huynh, O.D.

  • Optometrist
  • Garland, TX
National Provider Identifier
1851405153
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5536TG Issued in TX
Practice address
4530 W Buckingham Rd
Suite 100
Garland, TX 75042-4514
Phone
(972) 479-9797
Fax
(972) 479-9799
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 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 5536TG TX Primary

Addresses

Primary practice location

4530 W Buckingham Rd
Suite 100
Garland, TX 75042-4514

Mailing address

4530 W Buckingham Rd
Suite 100
Garland, TX 75042-4514
Phone (972) 479-9797

Other identifiers 1

IdentifierTypeStateIssuer
0191355-01MedicaidTX

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
I20100222000114 TX Practitioner - Optometry 5294879722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindy Ngo Huynh, O.D. and Associates, PAGroup PAC ID 7315072519, 2 clinicians

Practice addresses (Care Compare)

4530 W Buckingham Rd
Suite 100
Garland, TX 75042-4514
Phone (972) 479-9797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5536TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindy Ngo Huynh, O.D. & Associates, PA Optometrist CurrentSince Jan 31, 2010 Accepting new patients

Locations

4530 W Buckingham Rd
Ste 100
Garland, TX 75042
Phone (972) 479-9797

Organizations & group practices 1

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1851405153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 W BUCKINGHAM RD",
            "address_2": "SUITE 100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750424514",
            "telephone_number": "972-479-9797",
            "fax_number": "972-479-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 W BUCKINGHAM RD",
            "address_2": "SUITE 100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750424514",
            "telephone_number": "972-479-9797",
            "fax_number": "972-479-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "MINDY",
        "middle_name": "THIEN-NGA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5536TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0191355-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.