Individual provider Active NPI

Alfred Leon Humphrey, MD

  • Ophthalmology Physician
  • Arlington, TX
National Provider Identifier
1164426946
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D5043 Issued in TX
Practice address
910 N Davis Dr
Arlington, TX 76012-3200
Phone
(817) 461-0199
Fax
(817) 460-2153
NPI assigned
Jun 9, 2005
Last updated
Aug 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D5043 TX Primary

Addresses

Primary practice location

910 N Davis Dr
Arlington, TX 76012-3200

Mailing address

2801 Lemmon Ave
Suite 400
Dallas, TX 75204-2356
Phone (214) 754-0000

Other identifiers 1

IdentifierTypeStateIssuer
115671304MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
JW Eye Associates, PLLC Ophthalmology Current Accepting new patients

Locations

400 W Arbrook Blvd
Ste 121
Arlington, TX 76014

910 N Davis Dr
Arlington, TX 76012
Phone (817) 461-0199

910 N Davis Dr
Ste 400
Arlington, TX 76012
Phone (817) 461-0199

11442 N Central Expy
Dallas, TX 75243
Phone (214) 220-3937

3060 Communications Pkwy
Ste 205
Plano, TX 75093
Phone (972) 769-2020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1164426946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 LEMMON AVE",
            "address_2": "SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042356",
            "telephone_number": "214-754-0000",
            "fax_number": "214-379-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N DAVIS DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123200",
            "telephone_number": "817-461-0199",
            "fax_number": "817-460-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "ALFRED",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "D5043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115671304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 30, 2011; 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.