Individual provider Active NPI

Tony Yu Tao

  • Optometrist
  • Allen, TX
National Provider Identifier
1710980479
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5886 Issued in TX
Practice address
1150 N Watters Rd
Suite 107
Allen, TX 75013-5508
Phone
(972) 359-8828
Fax
(972) 359-9010
NPI assigned
May 24, 2005
Last updated
Jan 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5886 TX Primary
Corneal and Contact Management Optometrist 152WC0802X 5886TG TX
Pediatric Optometrist 152WP0200X 5886TG TX
Sports Vision Optometrist 152WS0006X 5886TG TX
Occupational Vision Optometrist 152WX0102X 5886TG TX

Addresses

Primary practice location

1150 N Watters Rd
Suite 107
Allen, TX 75013-5508

Mailing address

1150 N Watters Rd
Suite 107
Allen, TX 75013-5508
Phone (469) 235-2131

Other identifiers 1

IdentifierTypeStateIssuer
1430241-02MedicaidTX

Other names 1

  • Yu Tao 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
I20100622000846 TX Practitioner - Optometry 6608825906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1150 N Watters Rd
Suite 107
Allen, TX 75013-5509
Phone (972) 359-8828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5886TXMDOptometrist
5886TGTXMDOccupational Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Tony Y. Tao, Optometrist & Associates P.a. Corneal and Contact Management CurrentSince Jan 1, 2002 Accepting new patients

Locations

1150 N Watters Rd
Ste 107
Allen, TX 75013
Phone (972) 359-8828

Organizations & group practices 1

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1710980479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N WATTERS RD",
            "address_2": "SUITE 107",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135508",
            "telephone_number": "469-235-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N WATTERS RD",
            "address_2": "SUITE 107",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135508",
            "telephone_number": "972-359-8828",
            "fax_number": "972-359-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAO",
        "first_name": "TONY",
        "middle_name": "YU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5886",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "5886TG",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "5886TG",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "TX",
            "license": "5886TG",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "TX",
            "license": "5886TG",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1430241-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YU",
            "last_name": "TAO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.