NPIMap

Organization Active NPI

West Texas Eye PA

  • Ophthalmology Physician
  • Lubbock, TX
National Provider Identifier
1184733586
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WEST TEXAS EYE PA
Practice address
12210 Quaker Ave
Lubbock, TX 79424-7789
Phone
(806) 412-5165
Fax
(806) 792-6092
NPI assigned
Aug 30, 2006
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Arthur D Brookfield
Title
Chief Financial Officer
Phone
(602) 598-7065

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Ophthalmologic Surgery Clinic/Center 261QS0132X K3276 TX
Eyewear Supplier 332H00000X

Addresses

Primary practice location

12210 Quaker Ave
Lubbock, TX 79424-7789

Mailing address

63 S Rockford Dr Ste 220
Tempe, AZ 85288-6226
Phone (602) 598-7488

Other practice location 1

3611 50th St
Lubbock, TX 79413-3911
Phone (806) 792-5900

Other practice location 2

5109 80th St
Lubbock, TX 79424-3017
Phone (806) 792-5900 ext. 14

Other practice location 3

805 W Wadley Ave
Midland, TX 79705-6557
Phone (806) 792-5900

Other identifiers 2

IdentifierTypeStateIssuer
174103503MedicaidTX
DG8220OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050331000886 TX Part B Supplier - Clinic/Group Practice 5294782389 Receives reassigned benefits from 37 practitioners
Practice locations: Lubbock, TX; Midland, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • West Texas Eye PA

    dba West Texas Eye Associates

    • Durable Medical Equipment & Medical Supplies
    • Midland, TX
    • NPI 1063212157

    5294782389

    Same PAC ID

National Provider Directory

National Provider Directory

Locations

2301 Saturn Cir
Las Cruces, NM 88012
Phone (575) 382-0014

12210 Quaker Ave
Lubbock, TX 79424
Phone (806) 412-5165

5040 Tennyson Pkwy
Plano, TX 75024
Phone (469) 476-7810

Practitioners & affiliated clinicians

Practitioners 38

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 38

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1184733586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 S ROCKFORD DR STE 220",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852886226",
            "telephone_number": "602-598-7488",
            "fax_number": "602-231-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12210 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247789",
            "telephone_number": "806-412-5165",
            "fax_number": "806-792-6092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3611 50th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794133911",
            "country_code": "US",
            "telephone_number": "806-792-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5109 80th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794243017",
            "country_code": "US",
            "telephone_number": "806-792-5900 x14",
            "fax_number": "806-792-6092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 W Wadley Ave",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797056557",
            "country_code": "US",
            "telephone_number": "806-792-5900",
            "fax_number": "806-792-6092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST TEXAS EYE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "BROOKFIELD",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "602-598-7065"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "TX",
            "license": "K3276",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174103503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG8220",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.