Individual provider Active NPI

David Tremblay, M.D.

  • Ophthalmology Physician
  • Humble, TX
National Provider Identifier
1356636492
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MMD 33822 Issued in SC
Practice address
18850 S Memorial Dr
Humble, TX 77338-4288
Phone
(281) 446-7900
Fax
(281) 446-4879
NPI assigned
Jun 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MMD 33822 SC Primary
Surgery Physician 208600000X MMD.33822 LL SC

Addresses

Primary practice location

18850 S Memorial Dr
Humble, TX 77338-4288

Mailing address

1101 Clarity Rd
Suite 100
Mt Pleasant, SC 29464-3138
Phone (843) 606-4990

Other identifiers 6

IdentifierTypeStateIssuer
GP5503MedicaidSC
GP2156MedicaidSC
GP2149MedicaidSC
GP2172MedicaidSC
338227MedicaidSC
GP5351MedicaidSC

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160913000280 TX Practitioner - Ophthalmology 2860708054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at San Antonio, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mann Eye Center, PAGroup PAC ID 4082513379, 48 clinicians

Practice addresses (Care Compare)

18850 S Memorial Blvd
Humble, TX 77338-4288
Phone (281) 446-7900

Merit-based Incentive Payment System (MIPS)

Final score
87.12 of 100Reported as group
Quality
89.41
Promoting interoperability
88
Improvement activities
40
Cost
77.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MMD 33822SCMDOphthalmology Physician
MMD.33822 LLSCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mann Eye Center, PA CurrentSince Sep 12, 2016 Accepting new patients
Mann Eye Center, PA Current Accepting new patients
Mann Eye Center Ophthalmology CurrentSince Sep 12, 2016 Accepting new patients
Mann Eye Center, PA Past Accepting new patients

Locations

4314 W Braker Ln
Austin, TX 78759
Phone (512) 327-4123

4314 W Braker Ln
Ste 215
Austin, TX 78759
Phone (512) 200-3937

4314 W Braker Ln
Fl 2
Austin, TX 78759
Phone (800) 698-4746

2600 Via Fortuna
Ste 400
Austin, TX 78746
Phone (512) 327-4123

1530 Sun City Blvd
Ste 150
Georgetown, TX 78633
Phone (512) 327-4123

5115 Main St
Houston, TX 77002
Phone (713) 275-2457

18850 S Memorial Dr
Humble, TX 77338
Phone (281) 446-7900

Interoperability endpoints

  • Direct secure messaging: dtremblay@manneye.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1356636492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CLARITY RD",
            "address_2": "SUITE 100",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643138",
            "telephone_number": "843-606-4990",
            "fax_number": "843-375-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18850 S MEMORIAL DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384288",
            "telephone_number": "281-446-7900",
            "fax_number": "281-446-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMBLAY",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "MMD 33822",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "MMD.33822 LL",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5503",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2156",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2149",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2172",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338227",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5351",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.