Individual provider Active NPI

Van VI Thi Nguyen, O.D.

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1992917876
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7015TG Issued in TX
Practice address
2300 W 7TH St Ste 132
Fort Worth, TX 76107-2311
Phone
(817) 420-7377
Fax
(817) 420-7376
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7015TG TX Primary

Addresses

Primary practice location

2300 W 7TH St Ste 132
Fort Worth, TX 76107-2311

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970

Other practice location 1

4110 N Collins St
Arlington, TX 76005-4547
Phone (817) 860-9050

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
I20090218000106 TX Practitioner - Optometry 8628133154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

4110 N Collins St
Arlington, TX 76005-4547
Phone (817) 442-2934

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7015TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Oct 23, 2019 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Oct 23, 2019 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients
NE Texas Eye Associates PLLC Optometrist Past Accepting new patients

Locations

4110 N Collins St
Arlington, TX 76005
Phone (817) 442-2934

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

2300 W 7th St
Ste 132
Fort Worth, TX 76107
Phone (817) 420-7377

3000 S Hulen St
Ft Worth, TX 76109
Phone (817) 570-2960

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 5

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1992917876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W 7TH ST STE 132",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072311",
            "telephone_number": "817-420-7377",
            "fax_number": "817-420-7376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4110 N Collins St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760054547",
            "country_code": "US",
            "telephone_number": "817-860-9050",
            "fax_number": "817-274-3280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VAN VI",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7015TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.