MEDICARE: DR. DAI DINH BUI O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	6063TG	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184623050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAI DINH BUI O.D.

Provider Business Mailing Address
First Line	:	19250 W LAKE HOUSTON PKWY
Second Line	:	SUITE G
City	:	HUMBLE
State	:	TX
Zip	:	77346-2279
Country	:	US
Telephone Number	:	281-540-3937
Fax Number	:	281-540-3938

Provider Business Practice Location Address
First Line	:	731 MEYERLAND PLAZA MALL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-1618
Country	:	US
Telephone Number	:	713-668-4580
Fax Number	:	713-668-4581

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	01/25/2014

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