Active NPI
Thao M Dung, OPTOMETRIST
- Optometrist
- Wellesley, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT5329
- Practice address
- 1 Washington St Ste 101
Wellesley, MA 02481-1706 - Phone
- (781) 263-7360
- Fax
- (510) 799-7734
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11418T | CA | |
| Optometrist | 152W00000X | OPT5329 | MA | Primary |
Addresses
Primary practice location
1 Washington St Ste 101
Wellesley, MA 02481-1706
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names 1
- Dr. Thao Dung
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- New England College of Optometry, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 State St
Boston, MA 02109-2403
Phone (617) 742-2076
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11418 | CA | MD | Mental Health Counselor |
| 5329 | MA | MD | Mental Health Counselor |
| 11418T | CA | MD | Optometrist |
| OPT5329 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass Optometric Associates, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Mass Optometric Associates, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Milner & Lau Optometric Corporation | Optometrist | Past | Accepting new patients |
Locations
22 University Dr
Amherst, MA 01002
Phone (413) 549-9400
700 Boston Rd
Billerica, MA 01821
Phone (978) 667-0481
100 State St
Boston, MA 02109
Phone (617) 742-2076
1 Washington St
Ste 101
Wellesley Hills, MA 02481
Phone (617) 332-1471
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
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 and National Provider Directory roles.
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- NPI 1972059723
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- NPI 1679112528
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1558438101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WASHINGTON ST STE 101",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024811706",
"telephone_number": "781-263-7360",
"fax_number": "510-799-7734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNG",
"first_name": "THAO",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "OPTOMETRIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11418T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "OPT5329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THAO",
"last_name": "DUNG",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.