NPIMap

Organization Active NPI

Southwest Ophthalmology Associates, PLLC

  • Ophthalmology Physician
  • Arlington, TX
National Provider Identifier
1174745301
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
J0439 Issued in TX
Legal business name
SOUTHWEST OPHTHALMOLOGY ASSOCIATES, PLLC
Practice address
910 N Davis Drive
Suite 100
Arlington, TX 76012-3200
Phone
(817) 265-8525
Fax
(817) 860-6056
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Authorized official

Name
Dr. Ronald Martin Barke, M.D.NPI 1447255476
Title
Owner
Phone
(817) 265-8525

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 J0439 TX Primary

Addresses

Primary practice location

910 N Davis Drive
Suite 100
Arlington, TX 76012-3200

Mailing address

910 N Davis Drive
Suite 100
Arlington, TX 76012-3200
Phone (817) 265-8525

Other identifiers 2

IdentifierTypeStateIssuer
172984001MedicaidTX
DC4954OtherTXRAILROAD MEDICARE

National Provider Directory

National Provider Directory

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1174745301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N DAVIS DRIVE",
            "address_2": "SUITE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123200",
            "telephone_number": "817-265-8525",
            "fax_number": "817-860-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N DAVIS DRIVE",
            "address_2": "SUITE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123200",
            "telephone_number": "817-265-8525",
            "fax_number": "817-860-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST OPHTHALMOLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "BARKE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-265-8525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "J0439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172984001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC4954",
            "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 Jul 11, 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.