Active NPI
Jared Pels, O.D.
- Optometrist
- Coppell, TX
National Provider Identifier
1215345004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8476TG
- Practice address
- 541 E Sandy Lake Rd
Coppell, TX 75019-3090 - Phone
- (972) 393-3937
- NPI assigned
- Jul 24, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 8476TG | TX | Primary |
Addresses
Primary practice location
541 E Sandy Lake Rd
Coppell, TX 75019-3090
Mailing address
312 Park Valley Dr
Coppell, TX 75019-5368
Phone (972) 571-9788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8476TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vickery Health Center | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Dallas, TX
- NPI 1831166446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406160000000",
"number": "1215345004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 PARK VALLEY DR",
"city": "COPPELL",
"state": "TX",
"postal_code": "750195368",
"telephone_number": "972-571-9788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 E SANDY LAKE RD",
"city": "COPPELL",
"state": "TX",
"postal_code": "750193090",
"telephone_number": "972-393-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELS",
"first_name": "JARED",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-24",
"last_updated": "2014-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8476TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.