Dat T DO, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11846T Issued in CA

Practice address

1261 Cabrillo Ave
#200
Torrance, CA 90501-2868

Phone

(310) 618-2244

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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 CA

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Dat T. DO OD, Inc

  • Optometrist
  • Torrance, CA
  • NPI 1750523403
  Medicare reassignment NPD Authorized official
• Eyecare Specialists Medical Group, Inc.

  • Ophthalmology Physician
  • Downey, CA
  • NPI 1568494649

  Optometrist

  NPD (past)
• Healthcare Partners Affiliates Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  NPD (past)
• Memorial Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
  • NPI 1255523643
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1932294733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 CABRILLO AVE",
            "address_2": "#200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012868",
            "telephone_number": "310-618-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 CABRILLO AVE",
            "address_2": "#200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012868",
            "telephone_number": "310-618-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "DAT",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11846T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932294733",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divine Mercy Home Care Serviecs, Inc.
• Aliyah Camera Dixon
• Christine Meliani Djapri
• Armen Djenderedjian, M.D.
• DLZ Lab Inc
• Huy DO, M.D.
• Paulina DO, PHARM.D.
• Tam Dan DO, M.D.
• Valerie Kim DO
• Xuan Thao Thi DO, RPH

• Optometrist in Torrance, CA
• Providers in Torrance, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.