Dallas-Ft Worth Retina LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

DALLAS-FT WORTH RETINA LLC

Doing business as

DFW Retina Inc.

Practice address

399 Melrose Dr
Suite D
Richardson, TX 75080-4415

Phone

(877) 683-3702

Fax

(469) 484-8929

NPI assigned

Jul 19, 2013

Last updated

Dec 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George MatthewsNPI 1922005396

Title

MD

Phone

(877) 683-3702

Specialties & licenses 1

Addresses

Other names 1

• DFW Retina Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/imedicware_dfwretina

Practitioners 1

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.

• George Philip Matthews, MD

  • Ophthalmology Physician
  • Fort Worth, TX
  • NPI 1922005396
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1205278215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE",
            "address_2": "SUITE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042158",
            "telephone_number": "877-683-3702",
            "fax_number": "469-484-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 MELROSE DR",
            "address_2": "SUITE D",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804415",
            "telephone_number": "877-683-3702",
            "fax_number": "469-484-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS-FT WORTH RETINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-19",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "877-683-3702"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DFW Retina Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dallas County Hospital District
• Dallas County Hospital District (The Plaza at Richardson)
• Dallas Dmi LLC
• Dallas Medhealth Inc (Holistic Healthcare Center)
• Dallas Neurological Associates
• Dalmedics Inc (Dalcare Medical Supply)
• Cheri Dalton
• Sejal Bindesh Damania, PT
• Damon Dental and Implant Center, PLLC
• Carla Matwijecky Damon, DDS

• Ophthalmology Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.