Individual provider Active NPI

Minh Quang Quach, O.D.

  • Optometrist
  • Pearland, TX
National Provider Identifier
1730453234
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7344 Issued in TX
Practice address
3045 Silverlake Village Dr
Pearland, TX 77584-8080
Phone
(713) 436-0777
Fax
(281) 612-0111
NPI assigned
Feb 29, 2012
Last updated
Nov 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7344 TX Primary

Addresses

Primary practice location

3045 Silverlake Village Dr
Pearland, TX 77584-8080

Mailing address

1315 W Hunters Court Dr
Houston, TX 77055-6872
Phone (713) 436-0777

Other practice location 1

8282 Bellaire Blvd
Suite #162
Houston, TX 77036-4050
Phone (713) 774-3211

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
I20130701000247 TX Practitioner - Optometry 5395985014 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1730453234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 W HUNTERS COURT DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556872",
            "telephone_number": "713-436-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 SILVERLAKE VILLAGE DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848080",
            "telephone_number": "713-436-0777",
            "fax_number": "281-612-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8282 Bellaire Blvd",
            "address_2": "Suite #162",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770364050",
            "country_code": "US",
            "telephone_number": "713-774-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUACH",
        "first_name": "MINH",
        "middle_name": "QUANG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-29",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.