Active NPI
Sang Won An, O.D.
- Optometrist
- Carrollton, TX
National Provider Identifier
1477649895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7039
- Practice address
- 2625 Old Denton Rd
Suite 548
Carrollton, TX 75007-5125 - Phone
- (972) 242-1652
- Fax
- (972) 242-1694
- NPI assigned
- Oct 4, 2006
- Last updated
- Mar 10, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7039 | TX | Primary |
Addresses
Primary practice location
2625 Old Denton Rd
Suite 548
Carrollton, TX 75007-5125
Mailing address
2625 Old Denton Rd
Suite 548
Carrollton, TX 75007-5125
Phone (972) 242-1652
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2625 Old Denton Rd
Suite 548
Carrollton, TX 75007-5114
Phone (972) 242-1652
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swiss Eye Care PLLC | Optometrist | Current | Accepting new patients |
| Vision Depot LLC | Optometrist | Past | Accepting new patients |
Locations
2625 Old Denton Rd
Ste 548
Carrollton, TX 75007
Phone (972) 242-1652
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": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1477649895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 OLD DENTON RD",
"address_2": "SUITE 548",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750075125",
"telephone_number": "972-242-1652",
"fax_number": "972-242-1694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 OLD DENTON RD",
"address_2": "SUITE 548",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750075125",
"telephone_number": "972-242-1652",
"fax_number": "972-242-1694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AN",
"first_name": "SANG",
"middle_name": "WON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.