Organization Active NPI

Eye Specialists and Laser Center of Texas

  • Ophthalmology Physician
  • Coppell, TX
National Provider Identifier
1013193804
Registry record updated Oct 25, 2011
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
Practice address
370 W Hwy 121
Suite 105
Coppell, TX 75019
Phone
(972) 899-8070
NPI assigned
Jan 11, 2008
Last updated
Oct 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X M2903 TX Primary

Addresses

Primary practice location

370 W Hwy 121
Suite 105
Coppell, TX 75019

Mailing address

370 W Hwy 121
Suite 105
Coppell, TX 75019
Phone (972) 899-8070

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

370 S State Highway 121 N
Ste 105
Coppell, TX 75019
Phone (972) 899-8070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1013193804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 W HWY 121",
            "address_2": "SUITE 105",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "972-899-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 W HWY 121",
            "address_2": "SUITE 105",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "972-899-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SPECIALISTS AND LASER CENTER OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "SUBIR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-899-8070"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M2903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.