Individual provider Active NPI

Dieu Tue Thai, O.D.

  • Optometrist
  • Frisco, TX
National Provider Identifier
1144413170
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7102T Issued in TX
Practice address
16066 State Hwy 121
#700
Frisco, TX 75035
Phone
(972) 839-0750
NPI assigned
Aug 22, 2007
Last updated
Apr 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7102T TX Primary

Addresses

Primary practice location

16066 State Hwy 121
#700
Frisco, TX 75035

Mailing address

16066 State Hwy 121
Sutie 700
Frisco, TX 75035
Phone (972) 332-8276

Other practice location 1

1319 W State Highway 114 Ste 320
Grapevine, TX 76051-8617
Phone (817) 421-9705

Other practice location 2

14999 Preston Rd
Dallas, TX 75254-9116
Phone (972) 663-3937

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
I20150203000715 TX Practitioner - Optometry 1850616418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16066 State Hwy 121
Suite 700
Frisco, TX 75035-4681
Phone (972) 332-8276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7102TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Look Vision Care LLC Optometrist CurrentSince Nov 17, 2017 Accepting new patients

Locations

16066 State Highway 121
Ste 700
Frisco, TX 75035
Phone (972) 332-8276

Organizations & group practices 1

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": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1144413170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16066 STATE HWY 121",
            "address_2": "SUTIE 700",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "972-332-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16066 STATE HWY 121",
            "address_2": "#700",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "972-839-0750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1319 W State Highway 114 Ste 320",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760518617",
            "country_code": "US",
            "telephone_number": "817-421-9705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14999 Preston Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752549116",
            "country_code": "US",
            "telephone_number": "972-663-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAI",
        "first_name": "DIEU",
        "middle_name": "TUE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7102T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.