Valley Ranch Family Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VALLEY RANCH FAMILY EYE CARE PLLC

Practice address

820 S Macarthur Blvd Ste 135
Coppell, TX 75019-4221

Phone

(817) 713-8331

NPI assigned

Feb 23, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Ibrahim Qattan, ODNPI 1225531676

Title

Owner

Phone

(817) 713-8331

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ibrahim Qattan, OD

  • Optometrist
  • Denton, TX
  • NPI 1225531676
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1124727664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 HIDDEN TRAIL DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750675539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S MACARTHUR BLVD STE 135",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194221",
            "telephone_number": "817-713-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY RANCH FAMILY EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "QATTAN",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-713-8331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "9326-TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• United Supermarkets LLC (Market Street Pharmacy #1564)
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• Vail Physician Services, PLLC (Vail Physician Services)
• Mark Van Zant, LPC, NCC
• Priya Haresh Vanparia, M.S., CCC-SLP
• Umul Vara
• Jessy V Varghese, LCSW
• Rebecca Mary Varkey

• Optometrist in Coppell, TX
• Providers in Coppell, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.