Individual provider Active NPI

Thai-an Nguyen, O.D.

  • Optometrist
  • Grand Prairie, TX
National Provider Identifier
1992086821
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7739TG Issued in TX
Practice address
2634 S Carrier Pkwy Ste 101
Grand Prairie, TX 75052-5005
Phone
(972) 641-0011
Fax
(972) 641-8206
NPI assigned
Sep 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7739TG TX Primary

Addresses

Primary practice location

2634 S Carrier Pkwy Ste 101
Grand Prairie, TX 75052-5005

Mailing address

2634 S Carrier Pkwy Ste 101
Grand Prairie, TX 75052-5005
Phone (972) 641-0011

Other identifiers 1

IdentifierTypeStateIssuer
1992086821OtherTXAETNA

Other names 1

  • Dr. Thai-an Nguyen Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
7739TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Michael K. Hammond, PA Optometrist CurrentSince Feb 17, 2014 Accepting new patients

Locations

2634 S Carrier Pkwy
Ste 101
Grand Prairie, TX 75052
Phone (972) 641-0011

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": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1992086821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 S CARRIER PKWY STE 101",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525005",
            "telephone_number": "972-641-0011",
            "fax_number": "972-641-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 S CARRIER PKWY STE 101",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525005",
            "telephone_number": "972-641-0011",
            "fax_number": "972-641-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THAI-AN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7739TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1992086821",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THAI-AN",
            "last_name": "NGUYEN",
            "prefix": "DR.",
            "credential": "OD PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.