Angela Joby Kannookkadan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

11451TG Issued in TX

Practice address

4396 Dallas Fort Worth Tpke Ste 107
Dallas, TX 75211-1351

Phone

(214) 550-5005

NPI assigned

Jun 5, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Goto Eye Associates LLC

  • Optometrist
  • Dallas, TX
  • NPI 1609656933
  Medicare reassignment NPD
• Goto Optical PLLC

  • Optometrist
  • Dallas, TX
  • NPI 1457100638
  NPD

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1205720182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4396 DALLAS FORT WORTH TPKE STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4396 DALLAS FORT WORTH TPKE STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111351",
            "telephone_number": "214-550-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNOOKKADAN",
        "first_name": "ANGELA",
        "middle_name": "JOBY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11451TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preethi Kannan, MD
• Aparajith Kannapiran, MD MEDICAL STUDENT
• David William Kanne
• Nitin Kanneganti, MD
• Mariama Kanneh, LVN
• Aneri Kansagara
• Kansas Em I Medical Services PA
• Kansas Wesleyan University
• Nyssa Kantorek
• Monica C Kanu, D.C., R.N.

• Optometrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.