Individual provider Active NPI

Dung Khuat, OD

  • Optometrist
  • North Richland Hills, TX
National Provider Identifier
1972816866
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7603TG Issued in TX
Practice address
6021 Walker Blvd Ste 111
North Richland Hills, TX 76180-0904
Phone
(682) 235-8285
Fax
(682) 235-8285
NPI assigned
Jul 20, 2010
Last updated
Jan 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 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 7603TG TX Primary

Addresses

Primary practice location

6021 Walker Blvd Ste 111
North Richland Hills, TX 76180-0904

Mailing address

6021 Walker Blvd Ste 111
North Richland Hills, TX 76180-0904
Phone (682) 235-8285

Other names 1

  • Dr. Joe Khuat Other name

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
I20101018000541 TX Practitioner - Optometry 5193918654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6021 Walker Blvd
Suite 111
North Richland Hills, TX 76180-0904
Phone (682) 235-8285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7603TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimus Eye Care, PLLC Optometrist CurrentSince Jul 23, 2014 Accepting new patients

Locations

1400 Precinct Line Rd
Hurst, TX 76053
Phone (817) 282-1975

6021 Walker Blvd
Ste 111
North Richland Hills, TX 76180
Phone (682) 235-8285

Organizations & group practices 1

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": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1972816866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 WALKER BLVD STE 111",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761800904",
            "telephone_number": "682-235-8285",
            "fax_number": "682-235-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 WALKER BLVD STE 111",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761800904",
            "telephone_number": "682-235-8285",
            "fax_number": "682-235-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHUAT",
        "first_name": "DUNG",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-20",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7603TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOE",
            "last_name": "KHUAT",
            "prefix": "DR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.