Minh Cong Ta, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002034 Issued in GA

Practice address

2570 Blackmon Dr Ste 350
Decatur, GA 30033-6197

Phone

(678) 846-2000

NPI assigned

Mar 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• T&T Eyes, Inc.

  • Optometrist
  • Tucker, GA
  • NPI 1114254125
  Medicare reassignment NPD Authorized official
• Mountainview Eye Associates, P.C.

  • Optometrist
  • Snellville, GA
  • NPI 1639344278
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671840000000",
    "number": "1396712816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 GRASSMEADE CT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785501",
            "telephone_number": "770-331-3926",
            "fax_number": "678-807-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 BLACKMON DR STE 350",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336197",
            "telephone_number": "678-846-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4375 Lawrenceville Hwy",
            "address_purpose": "LOCATION",
            "city": "Tucker",
            "state": "GA",
            "postal_code": "300843702",
            "country_code": "US",
            "telephone_number": "770-939-7576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TA",
        "first_name": "MINH",
        "middle_name": "CONG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2022-12-24",
        "certification_date": "2022-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Symponia Palliative Care
• Bernice T Taylor
• T. Rex Orthopaedics, PC
• T&T Eyecare, LLC
• T2 Imaging
• Erin Kaminsky Tabb, PT, DPT
• Amber Tacke, L.C.S.W.
• Tactical Medical Transport LLC
• Tadda'S Total Wellness
• Solomon Tafari, M.D.

• Optometrist in Decatur, GA
• Providers in Decatur, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.