Provider Demographics
NPI:1770127979
Name:HOANG FAMILY EYE CARE PA
Entity type:Organization
Organization Name:HOANG FAMILY EYE CARE PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QUY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:503-481-8323
Mailing Address - Street 1:159 N PLANO RD
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-3827
Mailing Address - Country:US
Mailing Address - Phone:469-567-3640
Mailing Address - Fax:469-567-3737
Practice Address - Street 1:159 N PLANO RD
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-3827
Practice Address - Country:US
Practice Address - Phone:469-567-3640
Practice Address - Fax:469-567-3737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX411857201Medicaid
TX433863401Medicaid
TX411856401Medicaid