Individual provider Active NPI

Gloria L Hentz, O.D.

  • Optometrist
  • Arlington, TX
National Provider Identifier
1174835276
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7560T Issued in TX
Practice address
5335 W Sublett Rd Ste 131
Arlington, TX 76017-1184
Phone
(817) 200-3939
NPI assigned
Jul 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7560T TX Primary

Addresses

Primary practice location

5335 W Sublett Rd Ste 131
Arlington, TX 76017-1184

Mailing address

PO Box 8095
Fort Worth, TX 76124-0095
Phone (817) 877-3937

Other practice location 1

301 Carroll St
Fort Worth, TX 76107-1956
Phone (817) 877-3937

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
I20101217000534 TX Practitioner - Optometry 1557559598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Metroplex Eye Care PLLCGroup PAC ID 0648468686, 2 clinicians
Elite Vision CenterGroup PAC ID 6608297296, 2 clinicians

Practice addresses (Care Compare)

301 Carroll St
Fort Worth, TX 76107-1956
Phone (817) 877-3937

5335 W Sublett Rd
Suite 131
Arlington, TX 76017-1185
Phone (817) 200-3939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7560TXMDAddiction (Substance Use Disorder) Counselor
7560TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Metroplex Eye Care PLLC Optometrist CurrentSince Nov 7, 2010 Accepting new patients

Locations

301 Carroll St
Fort Worth, TX 76107
Phone (817) 302-0291

Organizations & group practices 2

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": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1174835276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8095",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761240095",
            "telephone_number": "817-877-3937",
            "fax_number": "817-877-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 W SUBLETT RD STE 131",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171184",
            "telephone_number": "817-200-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Carroll St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761071956",
            "country_code": "US",
            "telephone_number": "817-877-3937",
            "fax_number": "817-877-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENTZ",
        "first_name": "GLORIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7560T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.