Individual provider Active NPI

Hiep Duong, O.D.

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1043627904
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8468T Issued in TX
Practice address
5325 McPherson Blvd Ste 125
Fort Worth, TX 76123-6028
Phone
(817) 935-8280
NPI assigned
Jul 11, 2014
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8468T TX Primary

Addresses

Primary practice location

5325 McPherson Blvd Ste 125
Fort Worth, TX 76123-6028

Mailing address

1603 Hackney Dr
Mansfield, TX 76063-4262
Phone (214) 729-7787

Other practice location 1

1603 Hackney Dr
Mansfield, TX 76063-4262
Phone (214) 729-7787

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
I20140922001962 TX Practitioner - Optometry 5193944221 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5325 McPherson Blvd
Suite 125
Fort Worth, TX 76123-6028
Phone (817) 935-8280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8468TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Karen B. Saland, M.D., PLLC CurrentSince Mar 20, 2018 Accepting new patients
First Vision Care PLLC Optometrist CurrentSince Nov 12, 2021 Accepting new patients
Enhanced Eye Care Texas Optometrist CurrentSince Aug 22, 2022 Accepting new patients
Precision Eye Associates PA Optometrist CurrentSince Sep 1, 2014 Accepting new patients

Locations

8220 Walnut Hill Ln
Ste 700
Dallas, TX 75231
Phone (214) 691-8000

5325 McPherson Blvd
Ste 125
Fort Worth, TX 76123
Phone (817) 935-8280

2930 Preston Rd
Ste 905
Frisco, TX 75034
Phone (972) 334-9095

2650 S Highway 161
Grand Prairie, TX 75052
Phone (469) 805-6330

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1043627904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 HACKNEY DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634262",
            "telephone_number": "214-729-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 MCPHERSON BLVD STE 125",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761236028",
            "telephone_number": "817-935-8280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1603 Hackney Dr",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760634262",
            "country_code": "US",
            "telephone_number": "214-729-7787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUONG",
        "first_name": "HIEP",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-11",
        "last_updated": "2022-03-29",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8468T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.