Individual provider Active NPI

Albert Waikeung Pang, OD

  • Optometrist
  • Plano, TX
National Provider Identifier
1306823158
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3672TG Issued in TX
Practice address
6209 Chapel Hill Blvd
Ste 100
Plano, TX 75093-6392
Phone
(972) 250-2733
Fax
(972) 248-8072
NPI assigned
Dec 22, 2005
Last updated
Oct 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 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 3672TG TX Primary

Addresses

Primary practice location

6209 Chapel Hill Blvd
Ste 100
Plano, TX 75093-6392

Mailing address

6209 Chapel Hill Blvd
Ste 100
Plano, TX 75093-6392
Phone (972) 250-2733

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
I20050907000934 TX Practitioner - Optometry 9032141395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

6209 Chapel Hill Blvd
Suite 100
Plano, TX 75093-8488
Phone (972) 378-0707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3672TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
Health and Human Services Commission Current Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince May 28, 2022 Accepting new patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

130 Norris Ln
Boerne, TX 78006
Phone (830) 249-3898

4222 Trinity Mills Rd
Ste 112
Dallas, TX 75287
Phone (214) 710-1028

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

6209 Chapel Hill Blvd
Ste 100
Plano, TX 75093
Phone (972) 250-2733

1200 E Brin St
Terrell, TX 75160
Phone (972) 524-6452

Organizations & group practices 6

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1306823158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 CHAPEL HILL BLVD",
            "address_2": "STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936392",
            "telephone_number": "972-250-2733",
            "fax_number": "972-248-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 CHAPEL HILL BLVD",
            "address_2": "STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936392",
            "telephone_number": "972-250-2733",
            "fax_number": "972-248-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANG",
        "first_name": "ALBERT",
        "middle_name": "WAIKEUNG",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3672TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.