Individual provider Active NPI

Cory K Nguyen, OD

  • Pediatric Optometrist
  • Cypress, TX
National Provider Identifier
1851593198
Registry record updated Mar 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
7030TG Issued in TX
Practice address
21212 Northwest Fwy Ste 515
Cypress, TX 77429-5888
Phone
(281) 653-9223
NPI assigned
May 31, 2007
Last updated
Mar 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 7030TG TX Primary

Addresses

Primary practice location

21212 Northwest Fwy Ste 515
Cypress, TX 77429-5888

Mailing address

12320 Barker Cypress #600308
Cypress, TX 77429

Other identifiers 1

IdentifierTypeStateIssuer
PTAN TXB126697OtherMEDICARE

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
I20080627000153 TX Practitioner - Optometry 4082785779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21212 Northwest Fwy
Suite 515
Cypress, TX 77429-5888
Phone (281) 653-9223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7030TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
True Vision Family Eyecare Pediatrics CurrentSince Apr 10, 2007 Accepting new patients

Locations

1600 W Arbrook Blvd
Arlington, TX 76015
Phone (817) 375-0040

12320 Barker Cypress Rd
#600308
Cypress, TX 77429

12361 Barker Cypress Rd
Ste 300
Cypress, TX 77429
Phone (281) 758-2128

21212 Northwest Fwy
Ste 515
Cypress, TX 77429
Phone (281) 653-9223

9211 West Rd
Houston, TX 77064

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1851593198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 BARKER CYPRESS #600308",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21212 NORTHWEST FWY STE 515",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295888",
            "telephone_number": "281-653-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CORY",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "7030TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PTAN TXB126697",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.