Individual provider Active NPI

Christopher Ross Darilek, OD

  • Optometrist
  • Dallas, TX
National Provider Identifier
1053801878
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9418TG Issued in TX
Practice address
3699 McKinney Ave Ste 321
Dallas, TX 75204-4563
Phone
(214) 219-4402
Fax
(214) 583-2350
NPI assigned
May 16, 2018
Last updated
Dec 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9418TG TX Primary

Addresses

Primary practice location

3699 McKinney Ave Ste 321
Dallas, TX 75204-4563

Mailing address

3699 McKinney Ave Ste 321
Dallas, TX 75204-4563
Phone (214) 219-4402

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
9418TXMDChiropractor
9418TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Village Eye Pieces PC Optometrist CurrentSince Jul 17, 2022 Accepting new patients
Legacy Eye Pieces PC Optometrist Current Accepting new patients
Healthcare Eye Clinic Inc. PastSince Jul 31, 2018 Accepting new patients

Locations

3699 McKinney Ave
Ste 321
Dallas, TX 75204
Phone (214) 219-4402

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1053801878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 MCKINNEY AVE STE 321",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752044563",
            "telephone_number": "214-219-4402",
            "fax_number": "214-583-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 MCKINNEY AVE STE 321",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752044563",
            "telephone_number": "214-219-4402",
            "fax_number": "214-583-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARILEK",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9418TG",
            "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 7, 2021; 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.