Organization Active NPI

American Eyecare Centers Inc

  • Optometrist
  • Dallas, TX
National Provider Identifier
1053550202
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02227TG Issued in TX
Legal business name
AMERICAN EYECARE CENTERS INC
Practice address
6036 Sherry LN
Dallas, TX 75225-6401
Phone
(214) 361-1300
Fax
(214) 361-7310
NPI assigned
Feb 11, 2009
Last updated
Jul 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Ms. Shelley G Miner
Title
Insurance Coordinator
Phone
(214) 361-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 02227TG TX Primary

Addresses

Primary practice location

6036 Sherry LN
Dallas, TX 75225-6401

Mailing address

6036 Sherry LN
Dallas, TX 75225-6401
Phone (214) 361-1300

Other identifiers 1

IdentifierTypeStateIssuer
TXB135608OtherTXMEDICARE GROUP PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1053550202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6036 SHERRY LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256401",
            "telephone_number": "214-361-1300",
            "fax_number": "214-361-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 SHERRY LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256401",
            "telephone_number": "214-361-1300",
            "fax_number": "214-361-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN EYECARE CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "214-361-1300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "02227TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "TXB135608",
            "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 Jul 17, 2012; 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.