Active NPI
Aedann Villanueva
- Optometrist
- Dallas, TX
National Provider Identifier
1194642264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11695TG
- Practice address
- 8074 Spring Valley Rd
Dallas, TX 75240-3827 - Phone
- (469) 809-2020
- NPI assigned
- Jun 30, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11695TG | TX | Primary |
Addresses
Primary practice location
8074 Spring Valley Rd
Dallas, TX 75240-3827
Mailing address
8074 Spring Valley Rd
Dallas, TX 75240-3827
Phone (469) 809-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1194642264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8074 SPRING VALLEY RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752403827",
"telephone_number": "469-809-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8074 SPRING VALLEY RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752403827",
"telephone_number": "469-809-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "AEDANN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-30",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "11695TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.