Individual provider Active NPI

William Randall Trawnik

  • Ocularist
  • Dallas, TX
National Provider Identifier
1043247125
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OcularistTaxonomy code 156FX1700X
Practice address
4600 Greenville Ave Ste 240
Dallas, TX 75206-5037
Phone
(214) 739-5355
Fax
(214) 739-8261
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ocularist 156FX1700X Primary

Addresses

Primary practice location

4600 Greenville Ave Ste 240
Dallas, TX 75206-5037

Mailing address

4600 Greenville Ave Ste 240
Dallas, TX 75206-5037
Phone (214) 739-5355

Other identifiers 1

IdentifierTypeStateIssuer
086867101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
WM Randall Trawnik Current Accepting new patients

Locations

4600 Greenville Ave
Ste 240
Dallas, TX 75206
Phone (214) 363-3080

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1043247125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 GREENVILLE AVE STE 240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065037",
            "telephone_number": "214-739-5355",
            "fax_number": "214-739-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 GREENVILLE AVE STE 240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065037",
            "telephone_number": "214-739-5355",
            "fax_number": "214-739-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAWNIK",
        "first_name": "WILLIAM",
        "middle_name": "RANDALL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086867101",
            "state": "TX"
        }
    ],
    "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 May 29, 2019; 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.