Individual provider Active NPI

Jessica Luong, O.D.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1184975187
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8024TG Issued in TX
Practice address
10720 Preston Rd
Suite 1003
Dallas, TX 75230-3864
Phone
(469) 250-0284
Fax
(469) 250-0284
NPI assigned
Oct 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8024TG TX Primary

Addresses

Primary practice location

10720 Preston Rd
Suite 1003
Dallas, TX 75230-3864

Mailing address

189 Carrington LN
Lewisville, TX 75067-6730
Phone (713) 503-1591

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
I20121016000304 TX Practitioner - Optometry 2769632439 Reassigns benefits to 1 organization

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
Framed Eyecare, PLLCGroup PAC ID 2567735400, 2 clinicians

Practice addresses (Care Compare)

1016 E Hebron Pkwy
Suite 150
Carrollton, TX 75010-1021
Phone (469) 480-6150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8024TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Framed Eyecare, PLLC Optometrist CurrentSince Jul 1, 2017 Accepting new patients

Locations

1016 E Hebron Pkwy
Ste 150
Carrollton, TX 75010
Phone (469) 480-6150

Interoperability endpoints

  • Direct secure messaging: jessica.loung@uprisedirect.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1184975187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 CARRINGTON LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750676730",
            "telephone_number": "713-503-1591",
            "fax_number": "469-250-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 PRESTON RD",
            "address_2": "SUITE 1003",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303864",
            "telephone_number": "469-250-0284",
            "fax_number": "469-250-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUONG",
        "first_name": "JESSICA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8024TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.