Organization Active NPI

Southwest Eye Clinics, P.a.

  • Ophthalmology Physician
  • Mesquite, TX
National Provider Identifier
1104078575
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
E1233 Issued in TX
Legal business name
SOUTHWEST EYE CLINICS, P.A.
Practice address
4355 Interstate 30 Ste 100
Mesquite, TX 75150-2035
Phone
(214) 501-5426
Fax
(214) 501-5425
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Ms. Maariya Khan
Title
Office Manager
Phone
(214) 260-5020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X E1233 TX Primary

Addresses

Primary practice location

4355 Interstate 30 Ste 100
Mesquite, TX 75150-2035

Mailing address

4355 Interstate 30 Ste 101
Mesquite, TX 75150-2061
Phone (214) 328-6000

National Provider Directory

National Provider Directory

Locations

4355 Interstate 30
Ste 100
Mesquite, TX 75150
Phone (214) 368-6000

4355 Interstate 30
Ste 101
Mesquite, TX 75150
Phone (214) 328-6000

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1104078575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 INTERSTATE 30 STE 101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502061",
            "telephone_number": "214-328-6000",
            "fax_number": "214-328-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 INTERSTATE 30 STE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502035",
            "telephone_number": "214-501-5426",
            "fax_number": "214-501-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST EYE CLINICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MAARIYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-260-5020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "E1233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.