Individual provider Active NPI

Manilom Julie Douangphila, O.D.

  • Optometrist
  • Allen, TX
National Provider Identifier
1184877748
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7332T Issued in TX
Practice address
806 S Allen Heights Dr
Suite 300
Allen, TX 75002-1875
Phone
(214) 383-7600
Fax
(214) 383-7652
NPI assigned
Oct 28, 2008
Last updated
Apr 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7332T TX Primary

Addresses

Primary practice location

806 S Allen Heights Dr
Suite 300
Allen, TX 75002-1875

Mailing address

806 S Allen Heights Dr
Suite 300
Allen, TX 75002-1875
Phone (214) 383-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7332TTXMDOptometrist

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1184877748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 S ALLEN HEIGHTS DR",
            "address_2": "SUITE 300",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750021875",
            "telephone_number": "214-383-7600",
            "fax_number": "214-383-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 S ALLEN HEIGHTS DR",
            "address_2": "SUITE 300",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750021875",
            "telephone_number": "214-383-7600",
            "fax_number": "214-383-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUANGPHILA",
        "first_name": "MANILOM",
        "middle_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7332T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.