Individual provider Active NPI

David Thanh Dinh, OD

  • Optometrist
  • Dallas, TX
National Provider Identifier
1114282373
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7990TG Issued in TX
Practice address
2525 Lucas Drive
Dallas, TX 75219
Phone
(214) 528-7948
Fax
(214) 528-7387
NPI assigned
Jul 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7990T TX
Optometrist 152W00000X 7990TG TX Primary

Addresses

Primary practice location

2525 Lucas Drive
Dallas, TX 75219

Mailing address

2525 Lucas Drive
Dallas, TX 75219
Phone (214) 528-7948

Other identifiers 2

IdentifierTypeStateIssuer
112409105MedicaidTX
1124091-04MedicaidTX

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
I20120821000789 TX Practitioner - Optometry 8426205725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Distinctive Vision Care PLLCGroup PAC ID 9234428756, 2 clinicians
University of Houston SystemGroup PAC ID 6901896356, 55 clinicians

Practice addresses (Care Compare)

411 E Royal LN
Suite 170
Irving, TX 75039-3122
Phone (972) 401-2020

655 Taylor St
Fort Worth, TX 76102-4821
Phone (832) 671-9158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7990TTXMDOptometrist
7990TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Houston System CurrentSince Jun 25, 2012 Accepting new patients
Distinctive Vision Care, PLLC Optometrist CurrentSince Apr 22, 2016 Accepting new patients
University of Houston System Optometrist Current Accepting new patients
University of Houston CurrentSince Jun 25, 2012 Accepting new patients
Uh Eye Care Optometrist Past Accepting new patients

Locations

2525 Lucas Dr
Bldg 3
Dallas, TX 75219
Phone (214) 528-7354

2525 Lucas Dr
Dallas, TX 75219
Phone (214) 528-1354

655 Taylor St
Fort Worth, TX 76102
Phone (817) 289-6800

190 Heights Blvd
Houston, TX 77007
Phone (713) 527-8480

4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921

411 E Royal Ln
Ste 170
Irving, TX 75039
Phone (843) 450-0746

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": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1114282373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 LUCAS DRIVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75219",
            "telephone_number": "214-528-7948",
            "fax_number": "214-528-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 LUCAS DRIVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75219",
            "telephone_number": "214-528-7948",
            "fax_number": "214-528-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINH",
        "first_name": "DAVID",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7990T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7990TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112409105",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124091-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.