Active NPI
Khanh Dan
- Optometrist
- Port Arthur, TX
National Provider Identifier
1851904296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9936
- Practice address
- 8700 Central Mall Dr
Port Arthur, TX 77642-8058 - Phone
- (409) 205-0136
- NPI assigned
- Aug 25, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 9936 | TX | Primary |
Addresses
Primary practice location
8700 Central Mall Dr
Port Arthur, TX 77642-8058
Mailing address
8700 Central Mall Dr
Port Arthur, TX 77642-8058
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
13135 Hwy 6
Santa Fe, TX 77510-7681
Phone (409) 925-2506
603 Kirby Rd
Seabrook, TX 77586-5202
Phone (832) 753-4073
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9936 | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barry J Davis & Don a Reeves PTR | Optometrist | Current | Accepting new patients |
| Texas State Optical of Santa Fe, P.a. | Optometrist | Current | Accepting new patients |
| Seabrook Eye Center PLLC | Optometrist | Current | Accepting new patients |
| Larry W. Binford | Optometrist | Past | Accepting new patients |
Locations
8700 Central Mall Dr
Port Arthur, TX 77642
Phone (409) 722-6141
13135 Highway 6
Santa Fe, TX 77510
Phone (409) 925-2506
603 Kirby Rd
Seabrook, TX 77586
Phone (281) 794-0657
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Seabrook, TX
- NPI 1497231435
-
- Optometrist
- Santa Fe, TX
- NPI 1760824643
-
- Optometrist
- Port Arthur, TX
- NPI 1962528158
-
- Optometrist
- Santa Fe, TX
- NPI 1235370867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1851904296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8700 CENTRAL MALL DR",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776428058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 CENTRAL MALL DR",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776428058",
"telephone_number": "409-205-0136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAN",
"first_name": "KHANH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-25",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.