Organization Active NPI

Moninger Eye Care

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1023550332
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
J2215 Issued in TX
Legal business name
MONINGER EYE CARE
Practice address
13604 Midway Rd Ste 100
Dallas, TX 75244-4305
Phone
(972) 241-2564
Fax
(972) 241-1939
NPI assigned
Nov 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Dr. George A. Moninger, M.D.NPI 1316924699
Title
Owner
Phone
(972) 241-2564

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 J2215 TX Primary

Addresses

Primary practice location

13604 Midway Rd Ste 100
Dallas, TX 75244-4305

Mailing address

13604 Midway Rd Ste 100
Dallas, TX 75244-4305
Phone (972) 241-2564

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170104001542 TX Part B Supplier - Clinic/Group Practice 7012298136 Receives reassigned benefits from 2 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

10 Medical Pkwy
Ste 102
Dallas, TX 75234
Phone (214) 241-2564

13604 Midway Rd
Ste 100
Dallas, TX 75244
Phone (972) 241-2564

Practitioners & affiliated clinicians

Practitioners 4

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": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1023550332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13604 MIDWAY RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752444305",
            "telephone_number": "972-241-2564",
            "fax_number": "972-241-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13604 MIDWAY RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752444305",
            "telephone_number": "972-241-2564",
            "fax_number": "972-241-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONINGER EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "MONINGER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-241-2564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "J2215",
            "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 Dec 5, 2023; 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.