Individual provider Active NPI

Tala Chaaban, OD

  • Optometrist
  • Midlothian, TX
National Provider Identifier
1104552942
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10629T Issued in TX
Practice address
4460 E Highway 287 Ste a
Midlothian, TX 76065-7031
Phone
(972) 775-8000
NPI assigned
Jul 25, 2022
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10629T TX Primary

Addresses

Primary practice location

4460 E Highway 287 Ste a
Midlothian, TX 76065-7031

Mailing address

839 N Nolan River Rd
Cleburne, TX 76033-7001
Phone (817) 645-2411

Other practice location 1

1716 W Virginia St
McKinney, TX 75069-7864
Phone (972) 562-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220817000034 TX Practitioner - Optometry 6800279324 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newberry Vision Center, PLLCGroup PAC ID 7911222328, 3 clinicians

Practice addresses (Care Compare)

1716 W Virginia St
McKinney, TX 75069-7864
Phone (972) 562-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10629TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin, Wedel & Bullard, P.C. Optometrist Current Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Apr 28, 2024 Accepting new patients
Martin, Wedel & Bullard, P.C. Optometrist CurrentSince Aug 4, 2022 Accepting new patients
Pediatric Ophthalmology PA Past Accepting new patients
Dianne Bui Dao OD PC Optometrist PastSince Apr 24, 2011 Accepting new patients
Pope Enterprises PLLC Optometrist Past Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

209 Market St
Burleson, TX 76028
Phone (817) 295-0186

839 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 645-2411

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

1102 S Friendswood Dr
Ste A
Friendswood, TX 77546
Phone (281) 482-0066

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

4460 E Highway 287
Ste A
Midlothian, TX 76065
Phone (972) 775-8000

2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020

670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466

Interoperability endpoints

  • Direct secure messaging: tala.chaaban.1@18822.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1104552942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 N NOLAN RIVER RD",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337001",
            "telephone_number": "817-645-2411",
            "fax_number": "817-645-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 E HIGHWAY 287 STE A",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760657031",
            "telephone_number": "972-775-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1716 W Virginia St",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750697864",
            "country_code": "US",
            "telephone_number": "972-562-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAABAN",
        "first_name": "TALA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10629T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

Verify at the official NPI Registry.