Individual provider Active NPI

VI Tan, O.D.

  • Optometrist
  • Spring, TX
National Provider Identifier
1376828756
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7874TG Issued in TX
Practice address
1201 Lake Woodlands Dr
Suite 300
Spring, TX 77380-5000
Phone
(281) 292-2720
Fax
(281) 362-0442
NPI assigned
Oct 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7874TG TX Primary

Addresses

Primary practice location

1201 Lake Woodlands Dr
Suite 300
Spring, TX 77380-5000

Mailing address

1201 Lake Woodlands Dr
Suite 300
Spring, TX 77380-5000
Phone (281) 292-2720

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
I20140417000202 TX Practitioner - Optometry 3476785825 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4555 Hwy 6
Suite a
Sugar Land, TX 77478-5368
Phone (281) 491-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7874TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
VI Tan and Associates Optometrist CurrentSince Mar 29, 2017 Accepting new patients
Farriz PLLC Optometrist CurrentSince Nov 9, 2013 Accepting new patients
Chris M Tran OD PC Optometrist PastSince Mar 29, 2017 Accepting new patients
Hoang Ngoc Tran OD PA Optometrist Past Accepting new patients

Locations

4555 Highway 6
Ste A
Sugar Land, TX 77478
Phone (281) 491-3937

10388 US 59 Hwy
Wharton, TX 77488
Phone (979) 253-5554

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": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1376828756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 LAKE WOODLANDS DR",
            "address_2": "SUITE 300",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773805000",
            "telephone_number": "281-292-2720",
            "fax_number": "281-362-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LAKE WOODLANDS DR",
            "address_2": "SUITE 300",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773805000",
            "telephone_number": "281-292-2720",
            "fax_number": "281-362-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "VI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7874TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.