Individual provider Active NPI

Tiffany A. Doan, O.D.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1407119928
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7942T Issued in TX
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121005000139 TX Practitioner - Optometry 2961651088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyes on Preston Park PLLCGroup PAC ID 2860876927, 2 clinicians

Practice addresses (Care Compare)

1900 Preston Rd
Suite 265
Plano, TX 75093-5203
Phone (972) 519-0006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7942TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Prosper Vision PLLC Optometrist CurrentSince May 1, 2021 Accepting new patients
Eyes on Preston Park PLLC Optometrist CurrentSince Jun 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.