Organization Active NPI

Paris Eye Physicians & Surgeons PA

  • Specialist
  • Paris, TX
National Provider Identifier
1073639191
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H5664 Issued in TX
Legal business name
PARIS EYE PHYSICIANS & SURGEONS PA
Practice address
1235 NE Loop 286
Paris, TX 75460-2226
Phone
(903) 785-4166
Fax
(903) 785-4172
NPI assigned
Mar 21, 2007
Last updated
May 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Dr. M Steven Graves, MD
Title
Owner
Phone
(903) 785-4166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H5664 TX Primary

Addresses

Primary practice location

1235 NE Loop 286
Paris, TX 75460-2226

Mailing address

1235 NE Loop 286
Paris, TX 75460-2226
Phone (903) 785-4166

Other identifiers 2

IdentifierTypeStateIssuer
CS7990OtherGARAILROAD MEDICARE
094766501MedicaidTX

Other names 1

  • None Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040329000108 TX Part B Supplier - Clinic/Group Practice 2264324854 Receives reassigned benefits from 3 practitioners
Practice locations: Paris, TX
O20100930045766 TX DME Supplier - Physician - OphthalmologyDME Supplier - Physician - OptometristDME Supplier - Optician 2264324854 Practice locations: Paris, TX

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Paris Eye Physicians & Surgeons1235 NE Loop 286, Paris, TX 75460-2226(903) 785-4166 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Aug 3, 1993

National Provider Directory

National Provider Directory

Locations

2890 Lewis Ln
Paris, TX 75460
Phone (903) 739-7810

Practitioners & affiliated clinicians

Practitioners 4

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1073639191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754602226",
            "telephone_number": "903-785-4166",
            "fax_number": "903-785-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754602226",
            "telephone_number": "903-785-4166",
            "fax_number": "903-785-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARIS EYE PHYSICIANS & SURGEONS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-785-4166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H5664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS7990",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094766501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.