Organization Active NPI

New Vision Center, PA

  • Optometrist
  • Garland, TX
National Provider Identifier
1083898134
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05771TG Issued in TX
Legal business name
NEW VISION CENTER, PA
Practice address
2930 S 1St St Ste 700
Garland, TX 75041-3452
Phone
(972) 278-0154
Fax
(972) 278-8327
NPI assigned
Dec 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Dr. Lance M Chong, O.D.NPI 1821190141
Title
President
Phone
(972) 278-0154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 05771TG TX Primary

Addresses

Primary practice location

2930 S 1St St Ste 700
Garland, TX 75041-3452

Mailing address

2930 S 1St St Ste 700
Garland, TX 75041-3452
Phone (972) 278-0154

Other identifiers 1

IdentifierTypeStateIssuer
155757102MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050418000623 TX Part B Supplier - Clinic/Group Practice 3779521109 Receives reassigned benefits from 1 practitioner
Practice locations: Garland, TX

National Provider Directory

National Provider Directory

Locations

11722 Marsh Ln
Ste 350
Dallas, TX 75229
Phone (214) 902-9777

5334 Ross Ave
Ste 100
Dallas, TX 75206
Phone (214) 454-6800

11181 Denton Dr
Ste 105
Dallas, TX 75229
Phone (972) 247-2388

2930 S 1st St
Ste 700
Garland, TX 75041
Phone (972) 278-0154

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1083898134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 S 1ST ST STE 700",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750413452",
            "telephone_number": "972-278-0154",
            "fax_number": "972-278-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 S 1ST ST STE 700",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750413452",
            "telephone_number": "972-278-0154",
            "fax_number": "972-278-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-278-0154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05771TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155757102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.