Individual provider Active NPI

Mary Thuy Tien Dang, OD

  • Optometrist
  • Rowlett, TX
National Provider Identifier
1821721317
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10547 Issued in TX
Practice address
5601 President George Bush Hwy Ste 700
Rowlett, TX 75089-4012
Phone
(972) 202-9589
NPI assigned
Jul 3, 2022
Last updated
Dec 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10547 TX Primary

Addresses

Primary practice location

5601 President George Bush Hwy Ste 700
Rowlett, TX 75089-4012

Mailing address

5601 President George Bush Hwy Ste 700
Rowlett, TX 75089-4012
Phone (972) 202-9589

Other practice location 1

305 W Fm 1382 Ste 524B
Cedar Hill, TX 75104-1890
Phone (833) 362-8789

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
I20221012001185 TX Practitioner - Optometry 0345616694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Infocus Vision Cedar Hill PLLC Optometrist CurrentSince Aug 1, 2022 Accepting new patients
National Vision, Inc. PastSince Dec 29, 2024 Accepting new patients

Locations

305 W FM 1382
Ste 524B
Cedar Hill, TX 75104
Phone (972) 293-7170

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, 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": "1656806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1821721317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 PRESIDENT GEORGE BUSH HWY STE 700",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750894012",
            "telephone_number": "972-202-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 PRESIDENT GEORGE BUSH HWY STE 700",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750894012",
            "telephone_number": "972-202-9589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W Fm 1382 Ste 524B",
            "address_purpose": "LOCATION",
            "city": "Cedar Hill",
            "state": "TX",
            "postal_code": "751041890",
            "country_code": "US",
            "telephone_number": "833-362-8789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANG",
        "first_name": "MARY",
        "middle_name": "THUY TIEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-03",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

Verify at the official NPI Registry.