Individual provider Active NPI

Thuong Le Gist, O.D.

  • Optometrist
  • College Station, TX
National Provider Identifier
1528211737
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7277TG Issued in TX
Practice address
1517 Texas Ave S
College Station, TX 77840-3328
Phone
(979) 695-3937
NPI assigned
Oct 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7277TG TX Primary

Addresses

Primary practice location

1517 Texas Ave S
College Station, TX 77840-3328

Mailing address

1517 Texas Ave S
College Station, TX 77840-3328
Phone (979) 695-3937

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
I20120523000510 TX Practitioner - Optometry 8921261264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brilliant Eye Care LLCGroup PAC ID 5294028007, 2 clinicians

Practice addresses (Care Compare)

1517 Texas Ave S
College Station, TX 77840-3328
Phone (979) 694-3937

22225 FM 529 Rd
Suite 104
Katy, TX 77493-5362
Phone (281) 819-8665

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brilliant Eye Care LLC Optometrist CurrentSince May 6, 2016 Accepting new patients
Brilliant Eye Doctors PLLC Optometrist CurrentSince Mar 1, 2023 Accepting new patients

Locations

1517 Texas Ave S
College Station, TX 77840
Phone (979) 694-3937

22225 FM 529 Rd
Ste 104
Katy, TX 77493
Phone (281) 317-2809

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": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1528211737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 TEXAS AVE S",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778403328",
            "telephone_number": "979-695-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 TEXAS AVE S",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778403328",
            "telephone_number": "979-695-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIST",
        "first_name": "THUONG",
        "middle_name": "LE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7277TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.