NPIMap

Organization Active NPI

Steve N. Nguyen, O.D,, P.C.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1992760490
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5438TG Issued in TX
Legal business name
STEVE N. NGUYEN, O.D,, P.C.
Practice address
2811 S Hampton Rd
Suite B
Dallas, TX 75224-2329
Phone
(214) 333-2020
Fax
(214) 333-7316
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Authorized official

Name
Dr. Steve N. Nguyen, O.D.NPI 1477648657
Title
President
Phone
(214) 333-2020

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 5438TG TX Primary

Addresses

Primary practice location

2811 S Hampton Rd
Suite B
Dallas, TX 75224-2329

Mailing address

2811 S Hampton Rd
Suite B
Dallas, TX 75224-2329
Phone (214) 333-2020

Other identifiers 2

IdentifierTypeStateIssuer
213777001MedicaidTX
0A5439OtherTXMEDICARE PTAN

Other names 1

  • Southwest Dallas Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100108000533 TX Part B Supplier - Clinic/Group Practice 7810047065 Receives reassigned benefits from 3 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

2811 S Hampton Rd
Ste B
Dallas, TX 75224
Phone (214) 333-2020

2811 S Hampton Rd
Dallas, TX 75224
Phone (214) 333-2020

Practitioners & affiliated clinicians

Practitioners 7

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": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1992760490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 S HAMPTON RD",
            "address_2": "SUITE B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752242329",
            "telephone_number": "214-333-2020",
            "fax_number": "214-333-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 S HAMPTON RD",
            "address_2": "SUITE B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752242329",
            "telephone_number": "214-333-2020",
            "fax_number": "214-333-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE N. NGUYEN, O.D,, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-333-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5438TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213777001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0A5439",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Dallas Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Dallas Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.