Individual provider Active NPI

Jason Minh Ngo, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1952857989
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8954T Issued in TX
Practice address
8219 State Highway 151
San Antonio, TX 78245-2104
Phone
(210) 507-6712
NPI assigned
Aug 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8954T TX Primary

Addresses

Primary practice location

8219 State Highway 151
San Antonio, TX 78245-2104

Mailing address

8219 State Highway 151
San Antonio, TX 78245-2104
Phone (210) 507-6712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20200313001992 OR Practitioner - Optometry 2466717731 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optometric Care of OregonGroup PAC ID 4284014465, 6 clinicians

Practice addresses (Care Compare)

1597 SW 53Rd St
Corvallis, OR 97333-2630
Phone (541) 757-8844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8954TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbow Optics, PC Optometrist CurrentSince Mar 1, 2020 Accepting new patients
Optometric Care of Oregon Optometrist CurrentSince Jan 5, 2025 Accepting new patients
Rainbow Optics, PC Optometrist CurrentSince Mar 1, 2020 Accepting new patients
All Family Vision LLC Optometrist CurrentSince Feb 1, 2023 Accepting new patients
Optometric Care of Oregon Optometrist Current Accepting new patients
Optometric Care of Oregon Optometrist CurrentSince Jan 5, 2025 Accepting new patients
Vielma Vision Eyecare Optometrist PastSince Oct 20, 2018 Accepting new patients
Optometric Care of Oregon Optometrist Past Accepting new patients

Locations

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

1597 SW 53rd St
Corvallis, OR 97333
Phone (541) 757-8844

1740 W 18th Ave
Eugene, OR 97402
Phone (541) 343-5555

762 E 13th Ave
Eugene, OR 97401
Phone (541) 343-3333

2540 Willakenzie Rd
Eugene, OR 97401
Phone (541) 484-9999

207 Coburg Rd
Ste 105
Eugene, OR 97401
Phone (541) 338-4844

990 Broadway St NE
Ste 100
Salem, OR 97301
Phone (503) 364-0767

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": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1952857989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8219 STATE HIGHWAY 151",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782452104",
            "telephone_number": "210-507-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8219 STATE HIGHWAY 151",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782452104",
            "telephone_number": "210-507-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "JASON",
        "middle_name": "MINH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8954T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.