NPIMap

Organization Active NPI

Tricon Eye Care Center, PA

  • Ophthalmology Physician
  • Plano, TX
National Provider Identifier
1609072628
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TRICON EYE CARE CENTER, PA
Practice address
6300 Stonewood Dr
304
Plano, TX 75024-5280
Phone
(469) 467-8100
Fax
(469) 467-4556
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Them Le Vu, MDNPI 1003829334
Title
Ceo
Phone
(469) 467-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X L7916 TX
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

6300 Stonewood Dr
304
Plano, TX 75024-5280

Mailing address

6300 Stonewood Dr
304
Plano, TX 75024-5280
Phone (469) 467-8100

Other identifiers 4

IdentifierTypeStateIssuer
5552704OtherTXFIREST HEALTH PROVIDER #
8R1300OtherTXBCBS PROVIDER NUMBER
3723044OtherTXAETNA PROVIDER NUMBER
5801951OtherTXCIGNA PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040819000321 TX Part B Supplier - Clinic/Group Practice 1951374669 Receives reassigned benefits from 3 practitioners
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

6300 Stonewood Dr
Ste 304
Plano, TX 75024
Phone (469) 467-8100

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1609072628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 STONEWOOD DR",
            "address_2": "304",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245280",
            "telephone_number": "469-467-8100",
            "fax_number": "469-467-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 STONEWOOD DR",
            "address_2": "304",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245280",
            "telephone_number": "469-467-8100",
            "fax_number": "469-467-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICON EYE CARE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2023-09-06",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "THEM",
        "authorized_official_middle_name": "LE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-467-8100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L7916",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIREST HEALTH PROVIDER #",
            "identifier": "5552704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "8R1300",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "3723044",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "5801951",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.