Individual provider Active NPI

Nguyet-Angelica Doan, OD

  • Optometrist
  • Aiea, HI
National Provider Identifier
1295573558
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-1037 Issued in HI
Practice address
98-1247 Kaahumanu St Ste 105
Aiea, HI 96701-5300
Phone
(808) 487-5500
NPI assigned
Jul 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD-1037 HI Primary

Addresses

Primary practice location

98-1247 Kaahumanu St Ste 105
Aiea, HI 96701-5300

Mailing address

4231 Alief Village Dr
Houston, TX 77072-1350
Phone (832) 235-4370

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
I20241101001037 TX Practitioner - Optometry 9537692256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

6127 FM 1960 Rd W
Houston, TX 77069-4106
Phone (281) 469-2020

9105 W Sam Houston Pkwy N
Suite 800
Houston, TX 77064-6311
Phone (281) 970-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD-1037HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Oct 21, 2024 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Oct 21, 2024 Accepting new patients
Edwin Yoshio Endo Optometrist PastSince Jul 21, 2024 Accepting new patients

Locations

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

9105 W Sam Houston Pkwy N
Ste 800
Houston, TX 77064
Phone (281) 970-6900

3032 N Eastman Rd
Ste 100
Longview, TX 75605
Phone (903) 663-2020

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1295573558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 ALIEF VILLAGE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770721350",
            "telephone_number": "832-235-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST STE 105",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015300",
            "telephone_number": "808-487-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "NGUYET-ANGELICA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-1037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.