TRICON EYE CARE CENTER, PA (NPI# 1609072628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609072628 |
Entity Type | Organization |
Organization Name | TRICON EYE CARE CENTER, PA |
Practice Address |
6300 Stonewood Dr 304 Plano TX 75024-5280 |
Practice Telephone | 4694678100 |
Practice Fax Number | 4694674556 |
Mailing Telephone | 4694678100 |
Mailing Fax Number | 4694674556 |
Enumeration Date | 2007-06-26 |
Last Update Date | 2009-01-15 |
Authorized Official Name | TAMMY THEM LE VU (OPHTHALMOLOGIST) |
Authorized Official Telephone | 4694678100 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | L7916 | TX | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 169375601 | 05 | |
TX | CIGNA PROVIDER NUMBER | 5801951 | 01 |
TX | AETNA PROVIDER NUMBER | 3723044 | 01 |
TX | FIREST HEALTH PROVIDER # | 5552704 | 01 |
TX | BCBS PROVIDER NUMBER | 8R1300 | 01 |
Street Address |
6300 STONEWOOD DR 304 |
City | PLANO |
State | TX |
Zip Code | 75024-5280 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124007257 | Rosemary A Bates | Internal Medicine | 6300 Stonewood Dr, 302, Plano, TX 75024-5280 | 2006-01-17 |
1689039182 | Xiaoqin Pan | Nurse Practitioner | 6300 Stonewood Dr, Plano, TX 75024-5280 | 2015-12-28 |
1952739310 | Punita Shah, Md Pa | Pediatrics | 6300 Stonewood Dr, Suite 206, Plano, TX 75024-5280 | 2013-10-23 |
1811338593 | Best Optical, Pa | Optometrist | 6300 Stonewood Dr, Suite 304, Plano, TX 75024-5280 | 2013-07-10 |
1144561762 | A Star Family Medicine Pa | Preferred Provider Organization | 6300 Stonewood Dr, Suite # 202, Plano, TX 75024-5280 | 2013-03-06 |
1003122896 | Carewell Dental Clinic, P.a. | Dentist | 6300 Stonewood Dr, Suite #210, Plano, TX 75024-5280 | 2010-08-31 |
1013190537 | Hong Davis, Md, Pa | Nurse Practitioner | 6300 Stonewood Dr, Suite 202, Plano, TX 75024-5280 | 2007-12-06 |
1750570321 | Brenda L. Rude Md Pa | Internal Medicine | 6300 Stonewood Dr, Suite 200, Plano, TX 75024-5280 | 2007-10-19 |
1316136062 | Pamela Moore, Md, Pa | Clinic/Center | 6300 Stonewood Dr, Suite 200, Plano, TX 75024-5280 | 2007-10-18 |
1255529780 | Kiran S Robertson Md Pa | Internal Medicine | 6300 Stonewood Dr, Suite 200, Plano, TX 75024-5280 | 2007-10-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
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Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295282531 | Lorraine M Jenkins | Specialist | 2300 Mcdermott Rd # 200-304, Plano, TX 75025-7016 | 2016-09-03 |
1790130573 | Brownsville Infectious Disease Pa | Specialist | 4609 Forest Park Rd, Plano, TX 75024-3906 | 2016-04-28 |
1174934525 | Beth V. Anglin, M.d., Pa | Specialist | 3801 W. 15th Street, Plano, TX 75075 | 2014-05-19 |
1861814196 | Candlewood Suites Plano East | Specialist | 2401 E President George Bush Hwy, Plano, TX 75074-8355 | 2014-01-06 |
1780943480 | Ranger Neurophysiology, P.a. | Specialist | 4100 15th Street, Suite 206, Plano, TX 75093-5803 | 2012-05-15 |
1457643207 | Theresa Lee Bradley | Specialist | 8309 Bartley Cir, Plano, TX 75025-4319 | 2011-05-12 |
1225367659 | Shalini Katikaneni Md Pa | Specialist | 7509 New Heart Dr, Plano, TX 75024-3973 | 2009-12-14 |
1700045200 | Pediatric Offices At Willow Bend | Specialist | 6529 W Plano Pkwy, Suite B, Plano, TX 75093-8209 | 2008-06-09 |
1568641603 | Natan Yaker | Specialist | 4100 W 15th Street, Suite 106, Plano, TX 75093 | 2007-10-25 |
1790970192 | Shannon Leigh Benoy | Specialist | 1901 Lake Hill Ln, Plano, TX 75023-7457 | 2007-09-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.