NPIMap

Organization Active NPI

Woodbridge Vision PLLC

  • Optometrist
  • Wylie, TX
National Provider Identifier
1104245216
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7444TG Issued in TX
Legal business name
WOODBRIDGE VISION PLLC
Practice address
803 Woodbridge Pkwy
#1400
Wylie, TX 75098
Phone
(972) 563-1600
Fax
(214) 722-6997
NPI assigned
Apr 16, 2014
Last updated
Apr 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Dr. Tarun Gandhi, ODNPI 1164654950
Title
Optometrist
Phone
(972) 563-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7444TG TX Primary

Addresses

Primary practice location

803 Woodbridge Pkwy
#1400
Wylie, TX 75098

Mailing address

1005 Billie Johnson LN
Garland, TX 75044-5253
Phone (832) 671-1218

National Provider Directory

National Provider Directory

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": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1104245216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BILLIE JOHNSON LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750445253",
            "telephone_number": "832-671-1218",
            "fax_number": "214-722-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 WOODBRIDGE PKWY",
            "address_2": "#1400",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "972-563-1600",
            "fax_number": "214-722-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBRIDGE VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "TARUN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "972-563-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7444TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.