Individual provider Active NPI

Paul Quang Nguyen, OD

  • Optometrist
  • Pflugerville, TX
National Provider Identifier
1942721576
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9211T Issued in TX
Practice address
1512 Town Center Dr Ste 500
Pflugerville, TX 78660-7683
Phone
(512) 251-3007
NPI assigned
Jul 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9211T TX Primary

Addresses

Primary practice location

1512 Town Center Dr Ste 500
Pflugerville, TX 78660-7683

Mailing address

1512 Town Center Dr
Ste 500
Pflugerville, TX 78660-7683
Phone (512) 251-3700

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
I20181106001788 TX Practitioner - Optometry 4587918776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1512 Town Ctr Dr
Suite 500
Pflugerville, TX 78660-7683
Phone (512) 251-3700

940 Westinghouse Rd
Suite 105
Georgetown, TX 78626-2998
Phone (512) 631-0082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9211TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nguyen Wong Eye Care Optometrist CurrentSince May 30, 2024 Accepting new patients
Stone Hill Optical PLLC Optometrist CurrentSince Oct 17, 2018 Accepting new patients

Locations

940 Westinghouse Rd
Ste 105
Georgetown, TX 78626
Phone (512) 631-0082

1512 Town Center Dr
Ste 500
Pflugerville, TX 78660
Phone (512) 251-3007

Organizations & group practices 2

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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1942721576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 TOWN CENTER DR",
            "address_2": "STE 500",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607683",
            "telephone_number": "512-251-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 TOWN CENTER DR STE 500",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607683",
            "telephone_number": "512-251-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PAUL",
        "middle_name": "QUANG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-05",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9211T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.