Individual provider Active NPI

Mina Bao Hoang, O.D.

  • Optometrist
  • Spring, TX
National Provider Identifier
1437447364
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7762T Issued in TX
Practice address
4710 Louetta Rd
Spring, TX 77388-4419
Phone
(281) 350-2020
NPI assigned
Jul 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7762T TX Primary

Addresses

Primary practice location

4710 Louetta Rd
Spring, TX 77388-4419

Mailing address

4710 Louetta Rd
Spring, TX 77388-4419
Phone (281) 350-2020

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
I20120921000109 TX Practitioner - Optometry 5698923332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11020 Harlem Rd
Suite 800
Richmond, TX 77406-5505
Phone (281) 972-2105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7762TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hoang Squared Optometrist CurrentSince Aug 1, 2018 Accepting new patients

Locations

11020 Harlem Rd
Ste 800
Richmond, TX 77406
Phone (281) 972-2105

Organizations & group practices 1

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1437447364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 LOUETTA RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884419",
            "telephone_number": "281-350-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 LOUETTA RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884419",
            "telephone_number": "281-350-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "MINA",
        "middle_name": "BAO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7762T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.