Individual provider Active NPI

Annie Quach, O.D.

  • Optometrist
  • Wylie, TX
National Provider Identifier
1972867778
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8029 Issued in TX
Practice address
2050 N Highway 78
Wylie, TX 75098-6043
Phone
(972) 442-4001
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8029 TX Primary

Addresses

Primary practice location

2050 N Highway 78
Wylie, TX 75098-6043

Mailing address

2050 N Highway 78
Wylie, TX 75098-6043
Phone (972) 442-4001

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
I20130305000383 TX Practitioner - Optometry 2769637339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2050 N Hwy 78
Wylie, TX 75098-6043
Phone (972) 442-4001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8029TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Eye Care, LLC Optometrist CurrentSince Mar 1, 2017 Accepting new patients

Locations

2050 N Highway 78
Wylie, TX 75098
Phone (972) 429-5106

2050 N Highway 78
Ste 103
Wylie, TX 75098

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1972867778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 N HIGHWAY 78",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750986043",
            "telephone_number": "972-442-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N HIGHWAY 78",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750986043",
            "telephone_number": "972-442-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUACH",
        "first_name": "ANNIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.