Minh Tan Duong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

704 Issued in MS

Practice address

4721 26TH Ave
Meridian, MS 39305-4703

Phone

(601) 485-2020

Fax

(601) 581-1662

NPI assigned

Aug 31, 2006

Last updated

Oct 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS, TX2 enrollments

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 2

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Eyecare and Optical of Meridian, P.a.Group PAC ID 3577647064, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Primary Eyecare & Optical of Meridian, P.a.

  • Optometrist
  • Meridian, MS
  • NPI 1578757076
  Medicare reassignment Care Compare group NPD Authorized official
• Mississippi Band of Choctaw Indians

  dba Choctaw Health Center

  • General Acute Care Hospital
  • Choctaw, MS
  • NPI 1790865780

  TX

  Medicare reassignment NPD
• Eyedoc Consulting

  • Optometrist
  • Gautier, MS
  • NPI 1477339687
  NPD Authorized official
• Eyecare Express, LLC

  • Optometrist
  • Meridian, MS
  • NPI 1427253160
  NPD (past) Authorized official
• Primary Eyecare South LLC

  • Optometrist
  • Meridian, MS
  • NPI 1386252609
  Authorized official Same address or phone
• Mississippi Band of Choctaw Indians

  dba Choctaw Health Center Ambulance

  • Ambulance
  • Choctaw, MS
  • NPI 1548358153
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1871604207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 26TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393054703",
            "telephone_number": "601-485-2020",
            "fax_number": "601-581-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 26TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393054703",
            "telephone_number": "601-485-2020",
            "fax_number": "601-581-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "MINH",
        "middle_name": "TAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05087873",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caleb Robert Dulaney, M.D.
• Dumont Physician Services LLC
• Anna Arrington Dunn, FNP-C
• Evelyn Michele Dunn, N.P.
• Linda S. Dunnam, CRNA
• Harry Durgin, MD
• Kristi Warren Durgin, MD
• Eva Nicole Dye
• Bonnie E. Earley, ACNP
• East Central Mississippi Health Network Incorporated (Ec-Healthnet Family Health Center)

• Optometrist in Meridian, MS
• Providers in Meridian, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.

Verify at the official NPI Registry.