Individual provider Active NPI

Binh Thanh Dang, OD

  • Optometrist
  • Eagan, MN
National Provider Identifier
1407475403
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3678 Issued in MN
Practice address
1278 Town Centre Dr Ste 155
Eagan, MN 55123-6404
Phone
(612) 851-0208
NPI assigned
Apr 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3678 MN Primary

Addresses

Primary practice location

1278 Town Centre Dr Ste 155
Eagan, MN 55123-6404

Mailing address

740 Carriage Hill Rd
Midlothian, TX 76065-3255
Phone (810) 964-5562

Other practice location 1

1407 N Main St
Nashville, AR 71852-3733
Phone (870) 845-2021

Other practice location 2

3166 S Highway 161 Ste 160
Grand Prairie, TX 75052-7719
Phone (469) 805-6583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260422002609 TX Practitioner - Optometry 9537636014 Reassigns benefits to 1 organization
I20260507003355 AR Practitioner - Optometry 9537636014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

740 Carriage Hill Rd
Midlothian, TX 76065-3255

831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3678MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
National Vision Inc Optometrist CurrentSince May 31, 2020 Accepting new patients
National Vision Inc Optometrist Past Accepting new patients

Locations

1278 Town Centre Dr
Ste 155
Eagan, MN 55123
Phone (612) 851-0208

Organizations & group practices 3

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": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1407475403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 CARRIAGE HILL RD",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760653255",
            "telephone_number": "810-964-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 TOWN CENTRE DR STE 155",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551236404",
            "telephone_number": "612-851-0208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1407 N Main St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "AR",
            "postal_code": "718523733",
            "country_code": "US",
            "telephone_number": "870-845-2021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3166 S Highway 161 Ste 160",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750527719",
            "country_code": "US",
            "telephone_number": "469-805-6583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANG",
        "first_name": "BINH",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.