Individual provider Active NPI

Eliana Pelfrey, OD

  • Optometrist
  • Westlake, TX
National Provider Identifier
1083286504
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10315T Issued in TX
Practice address
72 Andorra Dr Ste 180
Westlake, TX 76262-2299
Phone
(817) 674-7500
Fax
(817) 809-9600
NPI assigned
Jul 14, 2021
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10315T TX Primary

Addresses

Primary practice location

72 Andorra Dr Ste 180
Westlake, TX 76262-2299

Mailing address

72 Andorra Dr Ste 180
Westlake, TX 76262-2299
Phone (817) 674-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220203002702 TX Practitioner - Optometry 8325431885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyes on Westlake PLLCGroup PAC ID 9739590928, 2 clinicians

Practice addresses (Care Compare)

72 Andorra Dr
Suite 180
Westlake, TX 76262-2299
Phone (817) 674-7500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Westlake, PLLC Optometrist CurrentSince Jan 1, 2025 Accepting new patients

Locations

72 Andorra Dr
Ste 180
Westlake, TX 76262
Phone (817) 674-7500

Organizations & group practices 1

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": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1083286504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 ANDORRA DR STE 180",
            "city": "WESTLAKE",
            "state": "TX",
            "postal_code": "762622299",
            "telephone_number": "817-674-7500",
            "fax_number": "817-809-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 ANDORRA DR STE 180",
            "city": "WESTLAKE",
            "state": "TX",
            "postal_code": "762622299",
            "telephone_number": "817-674-7500",
            "fax_number": "817-809-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELFREY",
        "first_name": "ELIANA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10315T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, TX

Sources for this page

Verify at the official NPI Registry.