Individual provider Active NPI

Thao Thach, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Garland, TX
National Provider Identifier
1063403061
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
L6667 Issued in TX
Practice address
325 N Shiloh Rd
Ste. 103
Garland, TX 75042-6610
Phone
(214) 703-9700
Fax
(214) 703-9811
NPI assigned
Oct 31, 2005
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X L6667 TX
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X L6667 TX Primary

Addresses

Primary practice location

325 N Shiloh Rd
Ste. 103
Garland, TX 75042-6610

Mailing address

PO Box 453187
Garland, TX 75045-3187
Phone (214) 703-9700

Other identifiers 1

IdentifierTypeStateIssuer
165716504MedicaidTX

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617001488 TX Practitioner - Ophthalmology 2860476587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thao T Thach IncGroup PAC ID 0042247181, 2 clinicians

Practice addresses (Care Compare)

329 N Shiloh Rd
Suite a
Garland, TX 75042-6610
Phone (214) 703-9700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L6667TXMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thao T. Thach, Inc Current Accepting new patients
Ecsc II PA Ophthalmology Past Accepting new patients
Eslite Eyecare Associates Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Heartcare Specialist PLLC Past Accepting new patients
Jules Stein Eye Institute Medical Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tthach@shiloheyecare.direct.eyemdemr.com

Organizations & group practices 7

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1063403061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453187",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750453187",
            "telephone_number": "214-703-9700",
            "fax_number": "214-703-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N SHILOH RD",
            "address_2": "STE. 103",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426610",
            "telephone_number": "214-703-9700",
            "fax_number": "214-703-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACH",
        "first_name": "THAO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L6667",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "TX",
            "license": "L6667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165716504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.