Saw Eye Associates PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D5258 Issued in TX

Legal business name

SAW EYE ASSOCIATES PA

Practice address

1626 Forest Lane
Ste C
Garland, TX 75042

Phone

(972) 494-1451

Fax

(972) 494-2105

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shelby A Wyll, MD

Title

President

Phone

(972) 494-1451

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Shelby A Wyll MD Doing business as

Locations

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1104881630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 FOREST LANE",
            "address_2": "STE C",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75042",
            "telephone_number": "972-494-1451",
            "fax_number": "972-494-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 FOREST LANE",
            "address_2": "STE C",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75042",
            "telephone_number": "972-494-1451",
            "fax_number": "972-494-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAW EYE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "WYLL",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-494-1451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "D5258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MED",
            "identifier": "180025949",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196845501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196845502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83035Z",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelby A Wyll MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in Garland, TX
• Providers in Garland, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.