Individual provider Active NPI

Peter Hoang, O.D.

  • Optometrist
  • Beaumont, TX
National Provider Identifier
1184889297
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7255T Issued in TX
Practice address
3345 Plaza 10 Dr Ste B
Beaumont, TX 77707-2553
Phone
(409) 833-0444
Fax
(409) 835-0278
NPI assigned
Jul 29, 2008
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7255T TX Primary
Corneal and Contact Management Optometrist 152WC0802X 7255T TX

Addresses

Primary practice location

3345 Plaza 10 Dr Ste B
Beaumont, TX 77707-2553

Mailing address

3345 Plaza 10 Dr Ste B
Beaumont, TX 77707-2553
Phone (409) 833-0444

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
I20100624000275 TX Practitioner - Optometry 4183755887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of Southeast Texas LLPGroup PAC ID 0143252536, 17 clinicians

Practice addresses (Care Compare)

3345 Plaza 10 Dr
Suite B
Beaumont, TX 77707-2553
Phone (409) 833-0444

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7255TTXMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of Southeast Texas LLP CurrentSince Aug 1, 2012 Accepting new patients
Southeast Texas Eye Specialists, PLLC Past Accepting new patients
Park Central Eyecare PA Optometrist PastSince Nov 1, 2009 Accepting new patients

Locations

3345 Plaza 10 Dr
Ste B
Beaumont, TX 77707
Phone (409) 833-0009

Interoperability endpoints

  • Direct secure messaging: phoang@ecsetx.intellechartdirect.net

Organizations & group practices 3

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": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1184889297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 PLAZA 10 DR STE B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072553",
            "telephone_number": "409-833-0444",
            "fax_number": "409-835-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 PLAZA 10 DR STE B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072553",
            "telephone_number": "409-833-0444",
            "fax_number": "409-835-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7255T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "7255T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.