NPIMap

Pediatric Ophthalmology PA

A Medicare group practice based in Dallas, TX: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9739147158), with 3 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9739147158The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
2
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 3 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20041230000543 TX Part B Supplier - Clinic/Group Practice 1114050242
O20080509000073 TX Part B Supplier - Clinic/Group Practice 1619195047

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 3

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).

Sources for this page