Active NPI
Khuong Tuan Dinh
- Optometrist
- Corpus Christi, TX
National Provider Identifier
1770510638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6068TG
- Practice address
- 4117 S Staples St
Suite 320
Corpus Christi, TX 78411-5505 - Phone
- (361) 993-6117
- Fax
- (361) 992-1375
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6068TG | TX | Primary |
Addresses
Primary practice location
4117 S Staples St
Suite 320
Corpus Christi, TX 78411-5505
Mailing address
4117 S Staples St
Suite 320
Corpus Christi, TX 78411-5505
Phone (361) 993-6117
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16193 | Other | TX | SPECTERA |
| 412069309 | Other | TX | CHIP |
| 451932 | Other | TX | NVA |
| 153761501 | Medicaid | TX | |
| 38695 | Other | TX | AVESIS |
| 57092 | Other | TX | SAFEGUARD |
| 9917 | Other | TX | DAVIS VISION |
| 412069309 | Other | TX | SUPERIOR VISION |
| 919125 | Other | TX | BLOCK VISION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6068TG | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465430400000",
"number": "1770510638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4117 S STAPLES ST",
"address_2": "SUITE 320",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784115505",
"telephone_number": "361-993-6117",
"fax_number": "361-992-1375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4117 S STAPLES ST",
"address_2": "SUITE 320",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784115505",
"telephone_number": "361-993-6117",
"fax_number": "361-992-1375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINH",
"first_name": "KHUONG",
"middle_name": "TUAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2016-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6068TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "16193",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIP",
"identifier": "412069309",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NVA",
"identifier": "451932",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "153761501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVESIS",
"identifier": "38695",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAFEGUARD",
"identifier": "57092",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "9917",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR VISION",
"identifier": "412069309",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLOCK VISION",
"identifier": "919125",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.