Individual provider Active NPI

Tavia Tho-Kim Doan, OD

  • Optometrist
  • Burleson, TX
National Provider Identifier
1447800446
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T9859 Issued in TX
Practice address
811 NE Alsbury Blvd Ste 100
Burleson, TX 76028-2657
Phone
(817) 231-7131
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T9859 TX Primary

Addresses

Primary practice location

811 NE Alsbury Blvd Ste 100
Burleson, TX 76028-2657

Mailing address

811 NE Alsbury Blvd Ste 100
Burleson, TX 76028-2657
Phone (817) 231-7131

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
I20230208002626 TX Practitioner - Optometry 0749652386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2101 Harwood Rd
Suite 126
Bedford, TX 76021-4700
Phone (817) 678-5543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9859TXMDOrthodontics and Dentofacial Orthopedic Dentist
T9859TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Doan Group Optometrist CurrentSince Feb 14, 2022 Accepting new patients
America'S Best Contacts & Eyeglasses PastSince Sep 15, 2019 Accepting new patients

Locations

2101 Harwood Rd
Ste 126
Bedford, TX 76021
Phone (817) 678-5543

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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1447800446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 NE ALSBURY BLVD STE 100",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282657",
            "telephone_number": "817-231-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 NE ALSBURY BLVD STE 100",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282657",
            "telephone_number": "817-231-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "TAVIA",
        "middle_name": "THO-KIM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "T9859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.