Individual provider Active NPI

Phillip T Doan, OD

  • Optometrist
  • Richmond, TX
National Provider Identifier
1497756571
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5657TG Issued in TX
Practice address
8710 Grand Mission Blvd Ste D
Richmond, TX 77407-5413
Phone
(281) 603-1777
NPI assigned
Aug 10, 2005
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 5657TG TX
Optometrist 152W00000X 5657TG TX Primary

Addresses

Primary practice location

8710 Grand Mission Blvd Ste D
Richmond, TX 77407-5413

Mailing address

8710 Grand Mission Blvd Ste D
Richmond, TX 77407-5413
Phone (281) 603-1777

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
I20090331000213 TX Practitioner - Optometry 0042377343 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
5657TGTXMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Eyecare & Optical LLC Optometrist CurrentSince Jan 15, 2024 Accepting new patients
Total Care PLLC Optometrist CurrentSince May 1, 2020 Accepting new patients
Mikael Minal & Sehar LLC Optometrist CurrentSince Sep 1, 2024 Accepting new patients
Beechnut Eye Docs PC Optometrist PastSince Jun 28, 2018 Accepting new patients
Pasadena Optical Inc Optometrist PastSince Dec 11, 2013 Accepting new patients
Northshore Tso, Inc. Optometrist Past Accepting new patients

Locations

2680 George Dieter Dr
El Paso, TX 79936
Phone (915) 315-2584

7888 Gateway Blvd E
Fl 2
El Paso, TX 79915
Phone (915) 300-3484

1548 Minonite Rd
Ste 220
Rosenberg, TX 77469
Phone (281) 603-1777

Organizations & group practices 6

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1497756571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8710 GRAND MISSION BLVD STE D",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774075413",
            "telephone_number": "281-603-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 GRAND MISSION BLVD STE D",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774075413",
            "telephone_number": "281-603-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "PHILLIP",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "5657TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5657TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.