Organization Active NPI

Doan Group

  • Optometrist
  • Bedford, TX
National Provider Identifier
1467176552
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DOAN GROUP
Practice address
2101 Harwood Rd Ste 126
Bedford, TX 76021-4700
Phone
(682) 583-7082
NPI assigned
Oct 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Tavia Tho-Kim Doan, O.D.NPI 1447800446
Title
Optometrist
Phone
(682) 583-7082

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 Primary

Addresses

Primary practice location

2101 Harwood Rd Ste 126
Bedford, TX 76021-4700

Mailing address

2101 Harwood Rd Ste 126
Bedford, TX 76021-4700
Phone (682) 583-7082

Other names 1

  • The Doan Group Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL iconicicare.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230208002372 TX Part B Supplier - Clinic/Group Practice 2668844200 Receives reassigned benefits from 1 practitioner
Practice locations: Bedford, TX

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1467176552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HARWOOD RD STE 126",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214700",
            "telephone_number": "682-583-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 HARWOOD RD STE 126",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214700",
            "telephone_number": "682-583-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "TAVIA",
        "authorized_official_middle_name": "THO-KIM",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "682-583-7082",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "iconicicare.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "2101 Harwood Rd Ste 126",
            "city": "Bedford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760214700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Doan Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Doan Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.