NPIMap

Organization Active NPI

University of Houston System

Doing business as Cedar Springs Eye Clinic

  • Optometrist
  • Dallas, TX
National Provider Identifier
1174660260
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
UNIVERSITY OF HOUSTON SYSTEM
Doing business as
Cedar Springs Eye Clinic
Practice address
2525 Lucas Dr
Building 3
Dallas, TX 75219-1804
Phone
(214) 528-7354
Fax
(214) 528-7387
NPI assigned
Jan 30, 2007
Last updated
Nov 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Dr. Joe W Deloach, ODNPI 1700840964
Title
Clinic Director
Phone
(214) 528-7354

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2525 Lucas Dr
Building 3
Dallas, TX 75219-1804

Mailing address

2525 Lucas Dr
Building 3
Dallas, TX 75219-1804
Phone (214) 528-7354

Other identifiers 1

IdentifierTypeStateIssuer
112409105MedicaidTX

Other names 1

  • Cedar Springs Eye Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041005000564 TX Part B Supplier - Clinic/Group Practice 6901896356 Receives reassigned benefits from 169 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX; Fort Worth, TX; Dallas, TX

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2085634Cedar Springs Eye Clinic2525 Lucas Drive, Dallas, TX 75219Certificate of waiverOct 16, 2026

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2525 Lucas Dr
Bldg 3
Dallas, TX 75219
Phone (214) 528-7354

505 J Davis Armistead Bldg
#4901
Houston, TX 77204
Phone (713) 743-1921

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1174660260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 LUCAS DR",
            "address_2": "BUILDING 3",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752191804",
            "telephone_number": "214-528-7354",
            "fax_number": "214-528-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 LUCAS DR",
            "address_2": "BUILDING 3",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752191804",
            "telephone_number": "214-528-7354",
            "fax_number": "214-528-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF HOUSTON SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "DELOACH",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "214-528-7354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112409105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Springs Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.