Individual provider Active NPI

Tyler Thinh Quoc Dang, OD

  • Optometrist
  • Cypress, TX
National Provider Identifier
1427724061
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10206T Issued in TX
Practice address
14119 Grant Rd Ste 200
Cypress, TX 77429-1476
Phone
(832) 843-3134
NPI assigned
Aug 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10206T TX Primary

Addresses

Primary practice location

14119 Grant Rd Ste 200
Cypress, TX 77429-1476

Mailing address

2120 El Paseo St Apt 3007
Houston, TX 77054-3216
Phone (504) 616-2896

Other practice location 1

8804 N SH 146
#130
Baytown, TX 77523
Phone (346) 801-3907

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
I20211216001313 TX Practitioner - Optometry 6608267190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wink Optometry PLLCGroup PAC ID 9133528235, 2 clinicians

Practice addresses (Care Compare)

14119 Grant Rd
Suite 200
Cypress, TX 77429-1396
Phone (832) 943-3134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10206TXMDGeneral Practice Dentistry
10206TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wink Optometry PLLC Optometrist CurrentSince Mar 1, 2025 Accepting new patients

Locations

14119 Grant Rd
Ste 200
Cypress, TX 77429
Phone (832) 943-3134

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1427724061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 EL PASEO ST APT 3007",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770543216",
            "telephone_number": "504-616-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14119 GRANT RD STE 200",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291476",
            "telephone_number": "832-843-3134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8804 N SH 146",
            "address_2": "#130",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "77523",
            "country_code": "US",
            "telephone_number": "346-801-3907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANG",
        "first_name": "TYLER",
        "middle_name": "THINH QUOC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10206T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.