DR. KIM ANH NGUYEN (O.D.) – Optometrist, NPI 1629417688

DR. KIM ANH NGUYEN (O.D.) is a healthcare provider. based in Denton, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 8214-T (TX). The NPI Number for DR. KIM ANH NGUYEN (O.D.) is 1629417688

Main info

Female
13 Years Of Experience
Name
DR. KIM ANH NGUYEN (O.D.)
NPI
1629417688
Phone
(940) 891-0484
Address
2524 LILLIAN MILLER PKWY
Enumeration Date
22 June 2013
Last Update Date
22 June 2013

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
94089104842
Graduation Year
2013 (13 years ago)
PAC ID
4688800303
Group Practice PAC ID
5294770590
Professional Enrollment ID
I20131202000161
Address ID
TX762107206DE2524XPKWY401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

Provider Addresses for DR. KIM ANH NGUYEN (O.D.)

  • 2524 LILLIAN MILLER PKWY

    SUITE 100

    DENTON, TX 762107206

    Phone: (940) 891-0484

    Fax: (940) 383-4700

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $265.

Total Amount is formed as General ($265) + Research ($0) + Ownership ($0) = $265.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($89).

Total Amount

$265

General + Research + Ownership

Payments

14

Total payment records

General Amount

$265

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131202000161IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system4444$0
92012Established patient problem focused exam of visual system2320$0
92250Photography of the retina1917$0
92083Exam of visual field with extended testing1613$0
92004New patient complete exam of visual system1515$0
View full utilization report →

Insurance plans in this area (ZIP 76210)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294770590View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YLA
O P T O M E T R YTX

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KIM ANH NGUYEN (O.D.)'s NPI?
Yes. DR. KIM ANH NGUYEN (O.D.) is listed with NPI 1629417688 in the public NPI dataset.
Can I rely on DR. KIM ANH NGUYEN (O.D.) being an active provider?
As of the registry snapshot, DR. KIM ANH NGUYEN (O.D.) is marked active.
What is DR. KIM ANH NGUYEN (O.D.) best known for clinically?
Directory data describes DR. KIM ANH NGUYEN (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does DR. KIM ANH NGUYEN (O.D.) serve?
DR. KIM ANH NGUYEN (O.D.)'s listing highlights Denton, Texas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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