NPIMap

Organization Active NPI

Uveitis Center of Texas

  • Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
  • Irving, TX
National Provider Identifier
1104464379
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Uveitis and Ocular Inflammatory Disease (Ophthalmology) PhysicianTaxonomy code 207WX0108X
Legal business name
UVEITIS CENTER OF TEXAS
Practice address
6500 Sierra Dr # 170
Irving, TX 75039-2480
Phone
(972) 331-1590
NPI assigned
Dec 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Authorized official

Name
Jennifer Cao, MD
Title
Owner
Phone
(617) 304-9116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Uveitis and Ocular Inflammatory Disease (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0108X Primary

Addresses

Primary practice location

6500 Sierra Dr # 170
Irving, TX 75039-2480

Mailing address

6500 Sierra Dr # 170
Irving, TX 75039-2480
Phone (972) 331-1590

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1104464379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 SIERRA DR # 170",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392480",
            "telephone_number": "972-331-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 SIERRA DR # 170",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392480",
            "telephone_number": "972-331-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UVEITIS CENTER OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "CAO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-304-9116",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0108X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.