Active NPI
Tiffany A. Doan, O.D.
- Optometrist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7942T
- Practice address
- 2959 S Buckner Blvd
Suite 700
Dallas, TX 75227-6945 - Phone
- (214) 239-2176
- NPI assigned
- Jun 19, 2012
- Last updated
- Jul 26, 2019
- Sex
- Female
- 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 | 7942T | TX | Primary |
Addresses
Primary practice location
2959 S Buckner Blvd
Suite 700
Dallas, TX 75227-6945
Mailing address
1900 Preston Rd
Ste 265
Plano, TX 75093-5203
Phone (972) 519-0006
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Preston Rd
Suite 265
Plano, TX 75093-5203
Phone (972) 519-0006
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7942T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosper Vision PLLC | Optometrist | Current | Accepting new patients |
| Eyes on Preston Park PLLC | Optometrist | Current | Accepting new patients |
Locations
1900 Preston Rd
Ste 265
Plano, TX 75093
Phone (972) 519-0006
1170 N Preston Rd
Ste 120
Prosper, TX 75078
Phone (214) 305-4020
Interoperability endpoints
- drt@eyegallery.emadirect.md
Organizations & group practices 2
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.
-
- Optometrist
- Plano, TX
- NPI 1235868423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1407119928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 PRESTON RD",
"address_2": "STE 265",
"city": "PLANO",
"state": "TX",
"postal_code": "750935203",
"telephone_number": "972-519-0006",
"fax_number": "972-519-0669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2959 S BUCKNER BLVD",
"address_2": "SUITE 700",
"city": "DALLAS",
"state": "TX",
"postal_code": "752276945",
"telephone_number": "214-239-2176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOAN",
"first_name": "TIFFANY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7942T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.