Individual provider Active NPI

Quy Hoang

  • Optometrist
  • Richardson, TX
National Provider Identifier
1619461506
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9752TG Issued in TX
Practice address
159 N Plano Rd
Richardson, TX 75081-3827
Phone
(469) 567-3640
Fax
(469) 567-3737
NPI assigned
Jun 14, 2018
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008770TUV NY
Optometrist 152W00000X OEG003513 PA
Optometrist 152W00000X 9752TG TX Primary

Addresses

Primary practice location

159 N Plano Rd
Richardson, TX 75081-3827

Mailing address

159 N Plano Rd
Richardson, TX 75081-3827
Phone (469) 567-3640

Other identifiers 3

IdentifierTypeStateIssuer
411857201MedicaidTX
411856401MedicaidTX
433863401MedicaidTX

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
I20191211001286 TX Practitioner - Optometry 4688007370 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008770TUVNYMDOptometrist
OEG003513PAMDOptometrist
9752TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
National Vision, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1619461506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 N PLANO RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750813827",
            "telephone_number": "469-567-3640",
            "fax_number": "469-567-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 N PLANO RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750813827",
            "telephone_number": "469-567-3640",
            "fax_number": "469-567-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "QUY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008770TUV",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003513",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9752TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411857201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411856401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433863401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.