Individual provider Active NPI

Tram Dang Nguyen, O.D.

  • Optometrist
  • Plano, TX
National Provider Identifier
1871783258
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7684T Issued in TX
Practice address
811 N Central Expy
Plano, TX 75075-8815
Phone
(972) 516-0026
Fax
(972) 516-0609
NPI assigned
Jul 31, 2007
Last updated
Sep 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7684T TX Primary
Optometrist 152W00000X 2593 AR
Optometrist 152W00000X 3180-35 WI

Addresses

Primary practice location

811 N Central Expy
Plano, TX 75075-8815

Mailing address

811 N Central Expy
Plano, TX 75075-8815
Phone (972) 516-0026

Other identifiers 1

IdentifierTypeStateIssuer
166274722MedicaidAR

Other names 1

  • Dr. (Cindy) Tram Ngoc Dang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4033ARMDGeneral Practice Dentistry
2593ARMDOptometrist
3180-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dang Eyecare & Associates, P.a. Optometrist CurrentSince Aug 21, 2023 Accepting new patients
DRS Elliott & Webb, S.C. Optometrist PastSince Apr 1, 2001 Accepting new patients
DRS. Elliott & Webb, S.C. Optometrist Past Accepting new patients
James a Williams O.D.P.C. Past Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

4189 Phoenix Ave
Ste B
Fort Smith, AR 72903
Phone (479) 434-4668

Organizations & group practices 5

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": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1871783258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 N CENTRAL EXPY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750758815",
            "telephone_number": "972-516-0026",
            "fax_number": "972-516-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N CENTRAL EXPY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750758815",
            "telephone_number": "972-516-0026",
            "fax_number": "972-516-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRAM",
        "middle_name": "DANG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7684T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2593",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3180-35",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166274722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "(CINDY) TRAM",
            "last_name": "DANG",
            "middle_name": "NGOC",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.