Individual provider Active NPI

Bac Tien Nguyen, M.D.

  • Ophthalmology Physician
  • Houston, TX
National Provider Identifier
1871853077
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R1256 Issued in TX
Practice address
3100 Weslayan St Ste 400
Houston, TX 77027-5752
Phone
(713) 526-1600
Fax
(713) 526-0679
NPI assigned
May 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A142273 CA
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X R1256 TX
Ophthalmology Physician 207W00000X R1256 TX Primary

Addresses

Primary practice location

3100 Weslayan St Ste 400
Houston, TX 77027-5752

Mailing address

3100 Weslayan St Ste 400
Houston, TX 77027-5752
Phone (713) 526-1600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BacTien@direct.berkeleyeye.com Berkeley Eye Institute, PLLC

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170504001518 TX Practitioner - Ophthalmology 4587955422 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Diego School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkeley Eye Institute, PLLCGroup PAC ID 4082602156, 62 clinicians

Practice addresses (Care Compare)

2012 W Loop
El Campo, TX 77437-8030
Phone (979) 543-6821

22741 Professional Dr
Kingwood, TX 77339-6005
Phone (281) 319-4334

3100 Weslayan St
Suite 400
Houston, TX 77027-5752
Phone (713) 526-1600

605 Medical CT
Suite 203
Brenham, TX 77833-5406
Phone (979) 830-1444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A142273CAMDOphthalmology Physician
R1256TXMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children's Physician Group CurrentSince Jul 5, 2017 Accepting new patients
Berkeley Eye Institute, PLLC Ophthalmology CurrentSince May 1, 2021 Accepting new patients
Berkeley Eye Institute, PLLC Ophthalmology CurrentSince May 1, 2021 Accepting new patients
Baylor College of Medicine CurrentSince Jun 1, 2017 Accepting new patients
Baylor College of Medicine CurrentSince Jun 1, 2017 Accepting new patients
Baylor College of Medicine CurrentSince Jun 1, 2017 Accepting new patients
Baylor College of Medicine Ophthalmology CurrentSince Jun 1, 2017 Accepting new patients
Clear Lake Eye Center LLP Past Accepting new patients

Locations

605 Medical Ct
Ste 203
Brenham, TX 77833
Phone (979) 353-5556

2012 West Loop
El Campo, TX 77437
Phone (979) 543-6821

3100 Weslayan St
Ste 400
Houston, TX 77027
Phone (713) 526-1600

2450 Holcombe Blvd
Ste NB34L
Houston, TX 77021
Phone (713) 796-0003

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

1977 Butler Blvd
Ste E3
Houston, TX 77030

22741 Professional Dr
Kingwood, TX 77339
Phone (281) 319-4334

1535 Cullen Blvd
Ste 200
Pearland, TX 77581
Phone (713) 436-1551

Interoperability endpoints

  • Direct secure messaging: bactien@direct.berkeleyeye.com
  • Direct secure messaging: bnguyen228145@directhoustonmethodist.org

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": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1871853077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WESLAYAN ST STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275752",
            "telephone_number": "713-526-1600",
            "fax_number": "713-526-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 WESLAYAN ST STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275752",
            "telephone_number": "713-526-1600",
            "fax_number": "713-526-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BAC",
        "middle_name": "TIEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A142273",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "TX",
            "license": "R1256",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "R1256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BacTien@direct.berkeleyeye.com",
            "affiliation": "Y",
            "affiliationName": "Berkeley Eye Institute, PLLC",
            "address_1": "3100 Weslayan St Ste 400",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770275752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.