NPIMap

Organization Active NPI

Cornea Associates of Texas, PA

  • Ophthalmology Physician
  • Rockwall, TX
National Provider Identifier
1063197275
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CORNEA ASSOCIATES OF TEXAS, PA
Practice address
810 Rockwall Pkwy Ste 1010
Rockwall, TX 75032-6870
Phone
(214) 692-0146
NPI assigned
Jun 16, 2023
Last updated
Jun 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Jennifer Fleming
Title
Administrator
Phone
(214) 692-0146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

810 Rockwall Pkwy Ste 1010
Rockwall, TX 75032-6870

Mailing address

10740 N Central Expy Ste 350
Dallas, TX 75231-2163
Phone (214) 692-0146

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070215000155 TX Part B Supplier - Clinic/Group Practice 5496757718 Receives reassigned benefits from 11 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Plano, TX; Rockwall, TX; Fort Worth, TX; Dallas, TX

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2302679Cornea Associates of Texas, PA810 Rockwall Pkwy # 1010, Rockwall, TX 75032Certificate of waiverApr 14, 2028

National Provider Directory

National Provider Directory
Tax ID family
Cornea Associates of Texas PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10740 N Central Expy
Ste 350
Dallas, TX 75231
Phone (214) 692-0146

1708 Coit Rd
Ste 220
Plano, TX 75075
Phone (214) 692-0146

Practitioners & affiliated clinicians

Practitioners 12

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": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1063197275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 N CENTRAL EXPY STE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312163",
            "telephone_number": "214-692-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 ROCKWALL PKWY STE 1010",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326870",
            "telephone_number": "214-692-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNEA ASSOCIATES OF TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-692-0146"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.