Individual provider Active NPI

Min Ren

  • Ophthalmology Physician
  • Beaumont, TX
National Provider Identifier
1467654798
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
M6850 Issued in TX
Practice address
3129 College St
Beaumont, TX 77701-4660
Phone
(409) 838-3725
NPI assigned
May 31, 2007
Last updated
Oct 31, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X M6850 TX Primary

Addresses

Primary practice location

3129 College St
Beaumont, TX 77701-4660

Mailing address

PO Box 7160
Beaumont, TX 77726-7160
Phone (409) 838-3725

Other identifiers 1

IdentifierTypeStateIssuer
186034801MedicaidTX

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070815000327 TX Practitioner - Ophthalmology 7911098322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of Southeast Texas LLPGroup PAC ID 0143252536, 17 clinicians

Practice addresses (Care Compare)

3220 Milam St
Beaumont, TX 77701-4754
Phone (409) 838-3725

3345 Plaza 10 Dr
Suite B
Beaumont, TX 77707-2553
Phone (409) 833-0444

Merit-based Incentive Payment System (MIPS)

Final score
98.59 of 100Reported as individual
Quality
97.19
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M6850TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of Southeast Texas LLP Ophthalmology CurrentSince Jul 15, 2007 Accepting new patients
Southeast Texas Eye Specialists, PLLC Past Accepting new patients
Beaumont Eye Associates PLLC PastSince Jan 1, 2020 Accepting new patients

Locations

3129 College St
Beaumont, TX 77701
Phone (409) 835-1996

3220 Milam St
Beaumont, TX 77701
Phone (409) 838-3725

3345 Plaza 10 Dr
Ste B
Beaumont, TX 77707
Phone (409) 833-0009

Interoperability endpoints

  • Direct secure messaging: mren@ecsetx.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1467654798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7160",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777267160",
            "telephone_number": "409-838-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014660",
            "telephone_number": "409-838-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REN",
        "first_name": "MIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M6850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186034801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.