Individual provider Active NPI

David Nguyen, O.D.

  • Optometrist
  • La Marque, TX
National Provider Identifier
1982000493
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8533TG Issued in TX
Practice address
6614 Gulf Freeway
La Marque, TX 77568
Phone
(409) 877-9682
NPI assigned
Nov 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8533TG TX Primary

Addresses

Primary practice location

6614 Gulf Freeway
La Marque, TX 77568

Mailing address

PO Box 1161
Dickinson, TX 77539-1161
Phone (281) 682-4725

Other identifiers 1

IdentifierTypeStateIssuer
3692691-01MedicaidTX

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
I20160113001555 TX Practitioner - Optometry 2668774480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6614 Gulf Fwy
La Marque, TX 77568-3096
Phone (409) 877-9682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8533TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
David D Nguyen OD PLLC Optometrist CurrentSince Sep 9, 2015 Accepting new patients

Locations

6614 Interstate 45
La Marque, TX 77568
Phone (409) 877-9682

22402 Bellaire Blvd
Richmond, TX 77407
Phone (281) 202-0345

Organizations & group practices 1

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": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1982000493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1161",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775391161",
            "telephone_number": "281-682-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6614 GULF FREEWAY",
            "city": "LA MARQUE",
            "state": "TX",
            "postal_code": "77568",
            "telephone_number": "409-877-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-10",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8533TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3692691-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Marque, TX

Sources for this page

Verify at the official NPI Registry.