Organization Active NPI

Carmel Cleetus, OD PLLC

  • Optometrist
  • Dallas, TX
National Provider Identifier
1093335440
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CARMEL CLEETUS, OD PLLC
Practice address
6464 E Northwest Hwy Ste 212
Dallas, TX 75214-7802
Phone
(214) 579-9920
NPI assigned
Apr 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Authorized official

Name
Dr. Carmel M Cleetus, OD
Title
Optometrist
Phone
(915) 588-1537

Specialties & licenses 1

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

Addresses

Primary practice location

6464 E Northwest Hwy Ste 212
Dallas, TX 75214-7802

Mailing address

11911 Greenville Ave Apt 4219
Dallas, TX 75243-3686
Phone (915) 588-1537

National Provider Directory

National Provider Directory

Locations

6464 E Northwest Hwy
Ste 212
Dallas, TX 75214
Phone (214) 360-4203

NPI Registry JSON

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1093335440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 GREENVILLE AVE APT 4219",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433686",
            "telephone_number": "915-588-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 E NORTHWEST HWY STE 212",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752147802",
            "telephone_number": "214-579-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEL CLEETUS, OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "CLEETUS",
        "authorized_official_first_name": "CARMEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "915-588-1537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.