Organization Active NPI

Arlington Eyecare Associates LLC

Doing business as Professional Eyecare Associates

  • Optometrist
  • Arlington, TX
National Provider Identifier
1124195516
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ARLINGTON EYECARE ASSOCIATES LLC
Doing business as
Professional Eyecare Associates
Practice address
3703 W Green Oaks Blvd
Arlington, TX 76016-3328
Phone
(817) 496-6022
Fax
(817) 496-8911
NPI assigned
Nov 29, 2006
Last updated
Nov 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Dr. Melvin G Cleveland Jr., ODNPI 1740262088
Title
President
Phone
(817) 496-6022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

3703 W Green Oaks Blvd
Arlington, TX 76016-3328

Mailing address

3703 Green Oaks Blvd W
Arlington, TX 76016
Phone (817) 496-6022

Other identifiers 1

IdentifierTypeStateIssuer
DP3176OtherTXMEDICARE RAILROAD

Other names 1

  • Professional Eyecare Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090723000746 TX Part B Supplier - Clinic/Group Practice 7416009394 Receives reassigned benefits from 4 practitioners
Practice locations: Arlington, TX; North Richland Hills, TX

National Provider Directory

National Provider Directory

Locations

3703 W Green Oaks Blvd
Arlington, TX 76016
Phone (817) 496-6022

3703 W Green Oaks Blvd
Ste A
Arlington, TX 76016
Phone (817) 496-6022

Practitioners & affiliated clinicians

Practitioners 5

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1124195516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 GREEN OAKS BLVD W",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76016",
            "telephone_number": "817-496-6022",
            "fax_number": "817-496-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 W GREEN OAKS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760163328",
            "telephone_number": "817-496-6022",
            "fax_number": "817-496-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON EYECARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-496-6022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DP3176",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Eyecare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.