Individual provider Active NPI

Dana P Dang, O.D.

  • Optometrist
  • Round Rock, TX
National Provider Identifier
1952700122
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8502TG Issued in TX
Practice address
130 Sundance Pkwy Ste 300
Round Rock, TX 78681-7935
Phone
(512) 630-2613
NPI assigned
Aug 13, 2014
Last updated
Aug 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8502TG TX Primary

Addresses

Primary practice location

130 Sundance Pkwy Ste 300
Round Rock, TX 78681-7935

Mailing address

130 Sundance Pkwy Ste 300
Round Rock, TX 78681-7935
Phone (512) 630-2613

Other practice location 1

1201 Barbara Jordan Blvd
Austin, TX 78723-3083
Phone (512) 452-3227

Other practice location 2

2801 S Water St
Burnet, TX 78611-4515
Phone (512) 756-2131

Other identifiers 3

IdentifierTypeStateIssuer
390927YRBLOtherTXMEDICARE UPIN
390927YRCEOtherTXMEDICARE UPIN
349654901MedicaidTX

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
I20150216001407 TX Practitioner - Optometry 8921323932 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Vision Group, PLLCGroup PAC ID 2062805781, 22 clinicians

Practice addresses (Care Compare)

1201 Barbara Jordan Blvd
Suite 1480
Austin, TX 78723-3183
Phone (512) 452-3227

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8502TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Vision Group, PLLC Optometrist CurrentSince Dec 10, 2022 Accepting new patients
Jeremy L Danson OD PA Optometrist CurrentSince Jan 11, 2016 Accepting new patients

Locations

1201 Barbara Jordan Blvd
Ste 1480
Austin, TX 78723
Phone (512) 320-1968

14005 Research Blvd
Ste 100
Austin, TX 78717
Phone (512) 257-0013

2801 S Water St
Burnet, TX 78611
Phone (512) 756-2131

1019 W University Ave
Ste 605
Georgetown, TX 78628
Phone (512) 868-2641

2601 S Interstate 35
Ste C100
Round Rock, TX 78664
Phone (512) 238-6887

Organizations & group practices 3

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": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1952700122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SUNDANCE PKWY STE 300",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786817935",
            "telephone_number": "512-630-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SUNDANCE PKWY STE 300",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786817935",
            "telephone_number": "512-630-2613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Barbara Jordan Blvd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787233083",
            "country_code": "US",
            "telephone_number": "512-452-3227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 S Water St",
            "address_purpose": "LOCATION",
            "city": "Burnet",
            "state": "TX",
            "postal_code": "786114515",
            "country_code": "US",
            "telephone_number": "512-756-2131",
            "fax_number": "512-756-7831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANG",
        "first_name": "DANA",
        "middle_name": "P",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8502TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "390927YRBL",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "390927YRCE",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349654901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.