NPIMap

Organization Active NPI

Thai-an Nguyen OD PLLC

  • Optometrist
  • Grand Prairie, TX
National Provider Identifier
1851717243
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7739TG Issued in TX
Legal business name
THAI-AN NGUYEN OD PLLC
Practice address
2634 S Carrier Pkwy Ste 101
Grand Prairie, TX 75052-5005
Phone
(972) 641-0011
Fax
(972) 641-8206
NPI assigned
Mar 11, 2014
Last updated
May 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Dr. Thai-an Nguyen, O.D.NPI 1992086821
Title
Optometrist
Phone
(972) 641-0011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7739TG TX Primary

Addresses

Primary practice location

2634 S Carrier Pkwy Ste 101
Grand Prairie, TX 75052-5005

Mailing address

2634 S Carrier Pkwy Ste 101
Grand Prairie, TX 75052-5005
Phone (972) 641-0011

National Provider Directory

National Provider Directory

Locations

2714 Greenville Ave
Dallas, TX 75206
Phone (469) 320-1888

2634 S Carrier Pkwy
Ste 101
Grand Prairie, TX 75052
Phone (972) 641-0011

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1851717243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 S CARRIER PKWY STE 101",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525005",
            "telephone_number": "972-641-0011",
            "fax_number": "972-641-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 S CARRIER PKWY STE 101",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525005",
            "telephone_number": "972-641-0011",
            "fax_number": "972-641-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAI-AN NGUYEN OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THAI-AN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "972-641-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7739TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.