Individual provider Active NPI

Tina Nguyen, O.D.

  • Optometrist
  • League City, TX
National Provider Identifier
1982911566
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7414TG Issued in TX
Practice address
2910 Gulf Fwy S
Suite F-2
League City, TX 77573-6790
Phone
(281) 337-1081
Fax
(281) 330-1361
NPI assigned
Sep 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7414TG TX Primary

Addresses

Primary practice location

2910 Gulf Fwy S
Suite F-2
League City, TX 77573-6790

Mailing address

2910 Gulf Fwy S
Suite F-2
League City, TX 77573-6790
Phone (281) 337-1081

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
I20130717000682 TX Practitioner - Optometry 0941440812 Practice locations: League City, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2910 Gulf S Fwy F-2
League City, TX 77573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7414TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Lakes Eye Associates Optometrist PastSince May 10, 2013 Accepting new patients

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": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1982911566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 GULF FWY S",
            "address_2": "SUITE F-2",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736790",
            "telephone_number": "281-337-1081",
            "fax_number": "281-330-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 GULF FWY S",
            "address_2": "SUITE F-2",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736790",
            "telephone_number": "281-337-1081",
            "fax_number": "281-330-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7414TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.