Individual provider Active NPI

Thuy-Trang Mai La, O.D.

  • Optometrist
  • Keller, TX
National Provider Identifier
1629189444
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6225TG Issued in TX
Practice address
8861 Davis Blvd 102
Keller, TX 76248-0306
Phone
(817) 562-2020
Fax
(817) 562-2225
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6225TG TX Primary

Addresses

Primary practice location

8861 Davis Blvd 102
Keller, TX 76248-0306

Mailing address

8861 Davis Blvd 102
Keller, TX 76248-0306
Phone (817) 562-2020

Other names 1

  • Dr. Tania La Other name

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
I20051007000349 TX Practitioner - Optometry 5092730176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baker Family Eyecare, P.a.Group PAC ID 0446259345, 2 clinicians

Practice addresses (Care Compare)

8861 Davis Blvd
Suite 102
Keller, TX 76248-0326
Phone (817) 562-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6225TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Baker Family Eyecare, P.a. Optometrist CurrentSince Jun 26, 2006 Accepting new patients
Paul G. Hayter, O.D., P.C. Optometrist PastSince Dec 20, 2004 Accepting new patients

Locations

8861 Davis Blvd
Ste 102
Keller, TX 76248
Phone (817) 562-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1629189444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8861 DAVIS BLVD 102",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480306",
            "telephone_number": "817-562-2020",
            "fax_number": "817-562-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8861 DAVIS BLVD 102",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480306",
            "telephone_number": "817-562-2020",
            "fax_number": "817-562-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA",
        "first_name": "THUY-TRANG",
        "middle_name": "MAI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6225TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANIA",
            "last_name": "LA",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Keller, TX

Sources for this page

Verify at the official NPI Registry.