Active NPI
Ngoc Thu Khoa Nguyen, O.D.
- Optometrist
- College Station, TX
National Provider Identifier
1891907374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7194T
- Practice address
- 1405 Earl Rudder Fwy S
College Station, TX 77845-6033 - Phone
- (979) 696-8081
- Fax
- (979) 696-8081
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7194T | TX | Primary |
Addresses
Primary practice location
1405 Earl Rudder Fwy S
College Station, TX 77845-6033
Mailing address
10411 Cobalt Falls Dr
Houston, TX 77095-5440
Phone (571) 269-8886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7194T | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290384000000",
"number": "1891907374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10411 COBALT FALLS DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770955440",
"telephone_number": "571-269-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 EARL RUDDER FWY S",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778456033",
"telephone_number": "979-696-8081",
"fax_number": "979-696-8081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "NGOC THU",
"middle_name": "KHOA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2010-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7194T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.