Dung Jennifer Dang, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10864TG Issued in TX

Practice address

8700 Central Mall Dr
Port Arthur, TX 77642-8058

Phone

(409) 205-0136

NPI assigned

Mar 3, 2023

Last updated

Jul 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jennifer Dang Professional name

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

Specialty

Optometry

Education

Other, 2022

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)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Eye Centers of Southeast Texas LLP

  • Ophthalmology Physician
  • Beaumont, TX
  • NPI 1124003454
  Medicare reassignment Care Compare group NPD
• Barry J Davis & Don a Reeves PTR

  dba Texas State Optical of Nederland

  • Optometrist
  • Port Arthur, TX
  • NPI 1962528158
  NPD
• Southeast Texas Eye Specialists, PLLC

  dba Eye Centers Optical

  • Eyewear Supplier
  • Beaumont, TX
  • NPI 1114902442
  NPD (past)

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1205536869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL MALL DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428058",
            "telephone_number": "409-722-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL MALL DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428058",
            "telephone_number": "409-205-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "DUNG",
        "middle_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10864TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DANG",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stephanie Prince Cunningham, D.O.
• CVS Pharmacy Inc. (CVS Pharmacy #)
• CVS Pharmacy, Inc. (CVS Pharmacy #11379)
• Lisa Nicole Dabney, COTA/L
• Khanh Dan
• Hau Phung Dang, M.D.
• Daniel & Max, LLC (Stanton Optical)
• Natasha Dannels, LPC
• Darla First Assist
• David Bernal DDS, PLLC

• Optometrist in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.