Individual provider Active NPI

Mai Vy Hoang, O.D.

  • Optometrist
  • Amarillo, TX
National Provider Identifier
1205148665
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7599T Issued in TX
Practice address
3408 Olsen Blvd
Amarillo, TX 79109
Phone
(806) 355-5633
Fax
(806) 355-9133
NPI assigned
Jul 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7599T TX Primary

Addresses

Primary practice location

3408 Olsen Blvd
Amarillo, TX 79109

Mailing address

3408 Olsen Blvd
Amarillo, TX 79109
Phone (806) 355-5633

Other identifiers 2

IdentifierTypeStateIssuer
83133QOtherTXBCBS
215984001MedicaidTX

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
I20100924000501 TX Practitioner - Optometry 8224154497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broome Professionals PAGroup PAC ID 0143495051, 8 clinicians

Practice addresses (Care Compare)

3408 Olsen Blvd
Amarillo, TX 79109-3017
Phone (806) 355-5633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7599TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Broome Professionals PA Optometrist CurrentSince Oct 12, 2011 Accepting new patients
Panhandle Eye Group, LLP PastSince Jan 19, 2004 Accepting new patients

Locations

3408 Olsen Blvd
Amarillo, TX 79109
Phone (806) 355-5633

Interoperability endpoints

  • Direct secure messaging: maivy.hoang@broomeoptical.eyefinity-direct.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1205148665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 OLSEN BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79109",
            "telephone_number": "806-355-5633",
            "fax_number": "806-355-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 OLSEN BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79109",
            "telephone_number": "806-355-5633",
            "fax_number": "806-355-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "MAI VY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7599T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83133Q",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215984001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.