Active NPI
Sean Nhan Ta, O.D.
- Optometrist
- Pearland, TX
National Provider Identifier
1396739041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6299TG
- Practice address
- 1710 Broadway St
Pearland, TX 77581-5604 - Phone
- (281) 648-2269
- NPI assigned
- Sep 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6299TG | TX | Primary |
Addresses
Primary practice location
1710 Broadway St
Pearland, TX 77581-5604
Mailing address
2410 Havencrest CT
Pearland, TX 77584-1552
Phone (281) 935-3373
Other names 1
- Nhan Thanh Ta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6299TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sean Ta, O.D., P.a. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Pearland, TX
- NPI 1013062934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261094400000",
"number": "1396739041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 HAVENCREST CT",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775841552",
"telephone_number": "281-935-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 BROADWAY ST",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775815604",
"telephone_number": "281-648-2269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TA",
"first_name": "SEAN",
"middle_name": "NHAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2009-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6299TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NHAN",
"last_name": "TA",
"middle_name": "THANH",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.