Individual provider Active NPI

Mary H. Dau, O.D.

  • Optometrist
  • Katy, TX
National Provider Identifier
1205210374
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8757TG Issued in TX
Practice address
6630 FM 1463 Rd Ste A400
Katy, TX 77494
Phone
(281) 394-7090
NPI assigned
Jul 17, 2015
Last updated
Feb 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8757TG TX Primary
Corneal and Contact Management Optometrist 152WC0802X 8757TG TX

Addresses

Primary practice location

6630 FM 1463 Rd Ste A400
Katy, TX 77494

Mailing address

6630 FM 1463 Rd Ste A400
Katy, TX 77494-7412

Other practice location 1

6630 Fm 1463 Rd Ste A400
Katy, TX 77494
Phone (832) 214-3553

Other practice location 2

6630 Fm 1463 Rd Ste A400
Katy, TX 77494
Phone (832) 214-3553

Other practice location 3

1848 Fm 359 Rd
Richmond, TX 77406-2049
Phone (281) 232-8257

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
I20190122001390 TX Practitioner - Optometry 8022306802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6630 FM 1463 Rd
Suite A400
Katy, TX 77494-7413
Phone (281) 394-7090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8757TXMDAddiction (Substance Use Disorder) Counselor
8757TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Third Sister, PLLC Optometrist CurrentSince Oct 1, 2018 Accepting new patients

Locations

6630 FM 1463 Rd
Ste A400
Katy, TX 77494
Phone (281) 232-8257

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": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1205210374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 FM 1463 RD STE A400",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 FM 1463 RD STE A400",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-394-7090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6630 Fm 1463 Rd Ste A400",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "77494",
            "country_code": "US",
            "telephone_number": "832-214-3553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6630 Fm 1463 Rd Ste A400",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "77494",
            "country_code": "US",
            "telephone_number": "832-214-3553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1848 Fm 359 Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774062049",
            "country_code": "US",
            "telephone_number": "281-232-8257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAU",
        "first_name": "MARY",
        "middle_name": "H.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8757TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "8757TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.