Organization Active NPI

Omnivision Eye Care Professional Corporation

  • Optometrist
  • Carrollton, TX
National Provider Identifier
1407986771
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6571TG Issued in TX
Legal business name
OMNIVISION EYE CARE PROFESSIONAL CORPORATION
Practice address
1920 Parker Rd Ste 120
Carrollton, TX 75010-4864
Phone
(972) 939-5367
Fax
(972) 939-5365
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Dr. Thoai Peter Bui, O.D.NPI 1801979414
Title
President
Phone
(972) 939-5367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6571TG TX Primary

Addresses

Primary practice location

1920 Parker Rd Ste 120
Carrollton, TX 75010-4864

Mailing address

PO Box 560544
The Colony, TX 75056-0544
Phone (972) 939-5367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070621000406 TX Part B Supplier - Clinic/Group Practice 3779682422 Receives reassigned benefits from 4 practitioners
Practice locations: Carrollton, TX

National Provider Directory

National Provider Directory

Locations

4112 N Josey Ln
Ste 112
Carrollton, TX 75007
Phone (972) 939-5367

1920 Parker Rd
Ste 120
Carrollton, TX 75010
Phone (972) 939-5367

2403 S Stemmons Fwy
Ste 113B
Lewisville, TX 75067
Phone (972) 459-2587

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1407986771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560544",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750560544",
            "telephone_number": "972-939-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 PARKER RD STE 120",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104864",
            "telephone_number": "972-939-5367",
            "fax_number": "972-939-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIVISION EYE CARE PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "THOAI",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-939-5367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6571TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.