Individual provider Active NPI

Katherine Mailien Dang

  • Optometrist
  • Cedar Park, TX
National Provider Identifier
1578162004
Registry record updated Jul 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9993 Issued in TX
Practice address
908 W Whitestone Blvd Ste 100
Cedar Park, TX 78613-7958
Phone
(512) 259-2020
NPI assigned
Oct 26, 2020
Last updated
Jul 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9993 TX Primary

Addresses

Primary practice location

908 W Whitestone Blvd Ste 100
Cedar Park, TX 78613-7958

Mailing address

908 W Whitestone Blvd Ste 100
Cedar Park, TX 78613-7958
Phone (512) 259-2020

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
I20210506000582 TX Practitioner - Optometry 9739598673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Cedar Park Vision CenterGroup PAC ID 0749342723, 3 clinicians

Practice addresses (Care Compare)

908 W Whitestone Blvd
Suite 100
Cedar Park, TX 78613-7958
Phone (512) 259-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9993TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Park Vision PA Optometrist CurrentSince Aug 22, 2024 Accepting new patients
Stephen D. Schaefer, O.D., P.a. Optometrist PastSince Jun 1, 2021 Accepting new patients

Locations

908 W Whitestone Blvd
Ste 100
Cedar Park, TX 78613
Phone (512) 259-2020

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, 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": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688860800000",
    "number": "1578162004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 W WHITESTONE BLVD STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137958",
            "telephone_number": "512-259-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 W WHITESTONE BLVD STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137958",
            "telephone_number": "512-259-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "KATHERINE",
        "middle_name": "MAILIEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2023-07-09",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.