Individual provider Active NPI

Angelina Dang, OD

  • Optometrist
  • Lafayette, LA
National Provider Identifier
1194407155
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1980-926AT Issued in LA
Practice address
4415 Ambassador Caffery Pkwy Ste 100
Lafayette, LA 70508-6771
Phone
(337) 984-7112
Fax
(337) 984-7114
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1980-926AT LA Primary

Addresses

Primary practice location

4415 Ambassador Caffery Pkwy Ste 100
Lafayette, LA 70508-6771

Mailing address

4415 Ambassador Caffery Pkwy Ste 100
Lafayette, LA 70508-6771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20231102002756 LA Practitioner - Optometry 0143676734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thom Dinh OD LLCGroup PAC ID 2769658012, 2 clinicians

Practice addresses (Care Compare)

4415 Ambassador Caffery Pkwy
Suite 100
Lafayette, LA 70508-6771
Phone (337) 984-7112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1980-926ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thom Dinh, OD, LLC Optometrist CurrentSince Aug 1, 2023 Accepting new patients

Locations

4415 Ambassador Caffery Pkwy
Lafayette, LA 70508

4415 Ambassador Caffery Pkwy
Ste 100
Lafayette, LA 70508
Phone (337) 406-0620

Organizations & group practices 2

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": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1194407155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 AMBASSADOR CAFFERY PKWY STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 AMBASSADOR CAFFERY PKWY STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086771",
            "telephone_number": "337-984-7112",
            "fax_number": "337-984-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "ANGELINA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1980-926AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.