Organization Active NPI

Sally Tam PLLC

  • Optometrist
  • McKinney, TX
National Provider Identifier
1992408355
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SALLY TAM PLLC
Practice address
9401 W University Dr Ste 130
McKinney, TX 75071-8983
Phone
(469) 899-2007
Fax
(469) 899-2007
NPI assigned
Mar 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Dr. Sally Tam Nguyen, ODNPI 1588016919
Title
Owner
Phone
(469) 899-2007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

9401 W University Dr Ste 130
McKinney, TX 75071-8983

Mailing address

9401 W University Dr Ste 130
McKinney, TX 75071-8983
Phone (469) 899-2007

Other names 1

  • Redefined Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231017002870 TX Part B Supplier - Clinic/Group Practice 5799130365 Receives reassigned benefits from 1 practitioner
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Locations

8710 W University Dr
Ste 120
McKinney, TX 75071
Phone (469) 899-2007

9401 W University Dr
Ste 130
McKinney, TX 75071
Phone (469) 899-2007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1992408355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 W UNIVERSITY DR STE 130",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750718983",
            "telephone_number": "469-899-2007",
            "fax_number": "469-899-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 W UNIVERSITY DR STE 130",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750718983",
            "telephone_number": "469-899-2007",
            "fax_number": "469-899-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY TAM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "TAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-899-2007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redefined Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Redefined Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.