Organization Active NPI

Thomas M Dvorakpc

  • Optometrist
  • Mesquite, TX
National Provider Identifier
1033517479
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3936T Issued in TX
Legal business name
THOMAS M DVORAKPC
Practice address
3434 Towne Crossing Blvd
Suite 112-B
Mesquite, TX 75150-2782
Phone
(972) 686-4738
Fax
(972) 686-6490
NPI assigned
Dec 17, 2014
Last updated
Dec 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Dr. Thomas Merle Dvorak, ODNPI 1598899379
Title
Owner/President
Phone
(214) 876-2672

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
Optometrist 152W00000X 3936T TX Primary

Addresses

Primary practice location

3434 Towne Crossing Blvd
Suite 112-B
Mesquite, TX 75150-2782

Mailing address

3434 Towne Crossing Blvd
Suite 112-B
Mesquite, TX 75150-2782
Phone (972) 686-4738

National Provider Directory

National Provider Directory

Locations

3434 Towne Crossing Blvd
Ste 112B
Mesquite, TX 75150
Phone (972) 686-4738

Practitioners & affiliated clinicians

Practitioners 2

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": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1033517479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 TOWNE CROSSING BLVD",
            "address_2": "SUITE 112-B",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502782",
            "telephone_number": "972-686-4738",
            "fax_number": "972-686-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 TOWNE CROSSING BLVD",
            "address_2": "SUITE 112-B",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502782",
            "telephone_number": "972-686-4738",
            "fax_number": "972-686-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M DVORAKPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "DVORAK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MERLE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "214-876-2672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3936T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.