Organization Active NPI

Texas Eye MD, PA

  • Specialist
  • Plano, TX
National Provider Identifier
1124443825
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L8114 Issued in TX
Legal business name
TEXAS EYE MD, PA
Practice address
305 W Spring Creek Pkwy
Suite 103a
Plano, TX 75023-4626
Phone
(972) 424-5811
Fax
(972) 881-1136
NPI assigned
Mar 4, 2014
Last updated
Mar 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
David Lu, M.D.NPI 1396716064
Title
President
Phone
(972) 743-4423

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
Specialist 174400000X L8114 TX Primary

Addresses

Primary practice location

305 W Spring Creek Pkwy
Suite 103a
Plano, TX 75023-4626

Mailing address

305 W Spring Creek Pkwy
Suite 103a
Plano, TX 75023-4626
Phone (972) 424-5811

Other identifiers 1

IdentifierTypeStateIssuer
1396716064OtherTXNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140722001140 TX Part B Supplier - Clinic/Group Practice 5395961650 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

305 W Spring Creek Pkwy
Plano, TX 75023

Practitioners & affiliated clinicians

Practitioners 1

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": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1124443825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W SPRING CREEK PKWY",
            "address_2": "SUITE 103A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750234626",
            "telephone_number": "972-424-5811",
            "fax_number": "972-881-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W SPRING CREEK PKWY",
            "address_2": "SUITE 103A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750234626",
            "telephone_number": "972-424-5811",
            "fax_number": "972-881-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS EYE MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-743-4423",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L8114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396716064",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.