Active NPI
Ophthalmology Surgery Center of Dallas, LLC
- Ambulatory Surgical Clinic/Center
- Dallas, TX
National Provider Identifier
1023341740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- OPHTHALMOLOGY SURGERY CENTER OF DALLAS, LLC
- Practice address
- 10740 N Central Expy
Suite 400
Dallas, TX 75231-2104 - Phone
- (214) 360-0000
- Fax
- (214) 360-0083
- NPI assigned
- Sep 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Inger Hodgson
- Title
- Chief Administrative Officer
- Phone
- (214) 750-9288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
10740 N Central Expy
Suite 400
Dallas, TX 75231-2104
Mailing address
10740 N Central Expy Ste 400
Dallas, TX 75231-2162
Phone (214) 750-9288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101025000569 | TX | Part B Supplier - Ambulatory Surgical Center | 2466645288 | Practice locations: Dallas, TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Ophthalmology Surgery Center of Dallas LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2002049 | Ophthalmology Surgery Center of Dallas, LLC | Certificate of waiver | Jan 5, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Dallas, TX
- NPI 1093742207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624838400000",
"number": "1023341740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10740 N CENTRAL EXPY STE 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752312162",
"telephone_number": "214-750-9288",
"fax_number": "214-750-9268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10740 N CENTRAL EXPY",
"address_2": "SUITE 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752312104",
"telephone_number": "214-360-0000",
"fax_number": "214-360-0083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPHTHALMOLOGY SURGERY CENTER OF DALLAS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-14",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A",
"authorized_official_last_name": "HODGSON",
"authorized_official_first_name": "INGER",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "214-750-9288",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.