Organization Active NPI

Vista Ophthalmology Associates, PA

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1144311275
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VISTA OPHTHALMOLOGY ASSOCIATES, PA
Practice address
10210 N Central Expy
125
Dallas, TX 75231-3425
Phone
(214) 369-5343
Fax
(214) 369-4090
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Raghav R Gupta, MDNPI 1326084146
Title
President/Owner
Phone
(214) 618-3937

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

10210 N Central Expy
125
Dallas, TX 75231-3425

Mailing address

5575 Warren Pkwy Suite 210
Frisco, TX 75034-4066
Phone (214) 618-3937

Other identifiers 1

IdentifierTypeStateIssuer
158172002MedicaidTX

National Provider Directory

National Provider Directory

Locations

10210 N Central Expy
Ste 125
Dallas, TX 75231
Phone (214) 369-5343

5575 Warren Pkwy
Ste 210
Frisco, TX 75034
Phone (214) 618-3937

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1144311275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 WARREN PKWY SUITE 210",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344066",
            "telephone_number": "214-618-3937",
            "fax_number": "214-618-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 N CENTRAL EXPY",
            "address_2": "125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313425",
            "telephone_number": "214-369-5343",
            "fax_number": "214-369-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA OPHTHALMOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RAGHAV",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "214-618-3937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158172002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.