Organization Active NPI

Albert Pang OD PA

  • Optometrist
  • Plano, TX
National Provider Identifier
1447432810
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
152W00000X Issued in TX
Legal business name
ALBERT PANG OD PA
Practice address
6209 Chapel Hill Blvd
Suite 100
Plano, TX 75093-1610
Phone
(972) 378-0707
Fax
(972) 378-3865
NPI assigned
Nov 28, 2007
Last updated
Oct 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Dr. Albert W Pang, ODNPI 1306823158
Title
Dr
Phone
(972) 378-0707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

6209 Chapel Hill Blvd
Suite 100
Plano, TX 75093-1610

Mailing address

6209 Chapel Hill Blvd
Suite 100
Plano, TX 75093-1610
Phone (972) 378-0707

Other identifiers 1

IdentifierTypeStateIssuer
093451502MedicaidTX

National Provider Directory

National Provider Directory

Locations

6209 Chapel Hill Blvd
Ste 100
Plano, TX 75093
Phone (972) 250-2733

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1447432810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 CHAPEL HILL BLVD",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750931610",
            "telephone_number": "972-378-0707",
            "fax_number": "972-378-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 CHAPEL HILL BLVD",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750931610",
            "telephone_number": "972-378-0707",
            "fax_number": "972-378-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT PANG OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "972-378-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "152W00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093451502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.