Organization Active NPI

Eye Specialists and Laser Center of Texas

Doing business as Eye and Laser Specialists of Texas

  • Ophthalmology Physician
  • Irving, TX
National Provider Identifier
1003091174
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
M2903 Issued in TX
Legal business name
EYE SPECIALISTS AND LASER CENTER OF TEXAS
Doing business as
Eye and Laser Specialists of Texas
Practice address
510 Ranch TRL
Suite 100
Irving, TX 75063-4878
Phone
(972) 899-8070
Fax
(972) 899-8072
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Subir S BhatiaNPI 1124058664
Title
President
Phone
(972) 899-8070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X M2903 TX Primary

Addresses

Primary practice location

510 Ranch TRL
Suite 100
Irving, TX 75063-4878

Mailing address

510 Ranch TRL
Suite 100
Irving, TX 75063-4878
Phone (972) 899-8070

Other names 1

  • Eye and Laser Specialists of Texas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080418000398 TX Part B Supplier - Clinic/Group Practice 1557449345 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Coppell, TX; Irving, TX; Fort Worth, TX

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1125 S Jennings Ave
Ste 100
Fort Worth, TX 76104
Phone (972) 899-8070

1350 S Main St
Ste 2425
Fort Worth, TX 76104
Phone (817) 336-2010

1650 W Rosedale St
Ste 202
Ft Worth, TX 76104
Phone (817) 336-4401

400 W Lyndon B Johnson Fwy
Irving, TX 75063
Phone (972) 868-4000

510 Ranch Trl
Ste 100
Irving, TX 75063
Phone (972) 899-8070

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1003091174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 RANCH TRL",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634878",
            "telephone_number": "972-899-8070",
            "fax_number": "972-899-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 RANCH TRL",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634878",
            "telephone_number": "972-899-8070",
            "fax_number": "972-899-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SPECIALISTS AND LASER CENTER OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "SUBIR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-899-8070"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M2903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye and Laser Specialists of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.