Individual provider Active NPI

Christian Twamley, OD

  • Optometrist
  • Arlington, TX
National Provider Identifier
1144210592
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05462TG Issued in TX
Practice address
4605 S Cooper St
Arlington, TX 76017-5827
Phone
(817) 557-9595
Fax
(817) 465-1778
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05462TG TX Primary

Addresses

Primary practice location

4605 S Cooper St
Arlington, TX 76017-5827

Mailing address

4605 S Cooper St
Arlington, TX 76017-5827
Phone (817) 557-9595

Other identifiers 1

IdentifierTypeStateIssuer
163454502MedicaidTX

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
I20101116000716 TX Practitioner - Optometry 7911914676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Expo Group PLLCGroup PAC ID 8022025782, 2 clinicians

Practice addresses (Care Compare)

4605 S Cooper St
Arlington, TX 76017-5827
Phone (817) 557-9595

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5462TXMDClinical Psychologist
05462TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Expo Group PLLC Optometrist CurrentSince Aug 15, 2010 Accepting new patients

Locations

4101 S Cooper St
Ste 105
Arlington, TX 76015
Phone (817) 557-9595

4605 S Cooper St
Arlington, TX 76017
Phone (817) 557-9595

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1144210592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 S COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175827",
            "telephone_number": "817-557-9595",
            "fax_number": "817-465-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 S COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175827",
            "telephone_number": "817-557-9595",
            "fax_number": "817-465-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWAMLEY",
        "first_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05462TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163454502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.