Karen Mai Linh Tong, O.D.
Individual provider Active NPI Optometrist · Crownpoint, NM
NPI 1629325212 · NPPES record last updated Aug 14, 2012
Key facts
- NPI
- 1629325212
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2917 (CO)
- Practice address
- Highway Junction 57, Route 9
Crownpoint, NM 87313 - Phone
- (505) 786-6249
- Fax
- (505) 786-6440
- NPI assigned
- Aug 14, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aria Eye Care LLC
Practice addresses (Care Compare)
830 S Broadway St
Acadia St Landry Guest House
Church Point, LA 70525-4402
Phone (337) 684-6316
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250213001763 | LA | Practitioner - Optometry | 3779731526 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2917 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Eye Care, LLC | Optometrist | Current |
Accepting new patients |
| Western Village Optometry, Inc | Optometrist | Current | Accepting new patients |
Locations
830 S Broadway St
Church Point, LA 70525
Phone (337) 684-6313
10826 Old Mill Rd
Ste 101
Omaha, NE 68154
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2917 | CO | Yes |
Addresses
Primary practice location
Highway Junction 57, Route 9
Crownpoint, NM 87313
Mailing address
PO Box 2073
Crownpoint, NM 87313-2073
Other providers in Crownpoint, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.