Organization Active NPI

Dr. Tony Y. Tao, Optometrist & Associates P.a.

  • Corneal and Contact Management Optometrist
  • Allen, TX
National Provider Identifier
1245233907
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
5886TG Issued in TX
Legal business name
DR. TONY Y. TAO, OPTOMETRIST & ASSOCIATES P.A.
Practice address
1150 N Watters Rd
Suite 107
Allen, TX 75013-5508
Phone
(972) 359-8828
Fax
(972) 359-9010
NPI assigned
May 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Yu Tao
Title
President
Phone
(972) 359-8828

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 5886TG TX Primary
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X 5886TG TX
Sports Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WS0006X 5886TG TX
Occupational Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WX0102X 5886TG TX

Addresses

Primary practice location

1150 N Watters Rd
Suite 107
Allen, TX 75013-5508

Mailing address

1150 N Watters Rd
Suite 107
Allen, TX 75013-5508
Phone (972) 359-8828

Other identifiers 1

IdentifierTypeStateIssuer
1655797-01MedicaidTX

Other names 1

  • YU TAO Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050113000426 TX Part B Supplier - Clinic/Group Practice 0446209746 Receives reassigned benefits from 1 practitioner
Practice locations: Allen, TX

National Provider Directory

National Provider Directory

Locations

1150 N Watters Rd
Ste 107
Allen, TX 75013
Phone (972) 359-8828

806 S Allen Heights Dr
Ste 300
Allen, TX 75002
Phone (214) 383-7600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1245233907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N WATTERS RD",
            "address_2": "SUITE 107",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135508",
            "telephone_number": "972-359-8828",
            "fax_number": "972-359-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N WATTERS RD",
            "address_2": "SUITE 107",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135508",
            "telephone_number": "972-359-8828",
            "fax_number": "972-359-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TONY Y. TAO, OPTOMETRIST & ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "TAO",
        "authorized_official_first_name": "YU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-359-8828"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "5886TG",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "5886TG",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "TX",
            "license": "5886TG",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "TX",
            "license": "5886TG",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1655797-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YU TAO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.