Active NPI
Praba Narayana Reddy, M.D.
- Ophthalmology Physician
- Richardson, TX
National Provider Identifier
1063474096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- M0235
- Practice address
- 2821 E President George Bush Hwy
Richardson, TX 75082-4266 - Phone
- (972) 393-5868
- NPI assigned
- Apr 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | M0235 | TX | Primary |
Addresses
Primary practice location
2821 E President George Bush Hwy
Richardson, TX 75082-4266
Mailing address
PO Box 3562
Coppell, TX 75019-9562
Phone (972) 393-5868
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M0235 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Eye Clinic LL | Past | Accepting new patients | |
| North Texas Ophthalmology, P.a. | Ophthalmology | Past | Accepting new patients |
| Fisher-Swale-Nicholson Eye Center SC | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Richardson, TX
- NPI 1720224819
-
- Ophthalmology Physician
- Bourbonnais, IL
- NPI 1639277940
-
- Optometrist
- Rio Rancho, NM
- NPI 1568550002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240358400000",
"number": "1063474096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3562",
"city": "COPPELL",
"state": "TX",
"postal_code": "750199562",
"telephone_number": "972-393-5868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 E PRESIDENT GEORGE BUSH HWY",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750824266",
"telephone_number": "972-393-5868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "PRABA",
"middle_name": "NARAYANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2009-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "M0235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.