Active NPI
Michael Dellis, O.D., P.C.
- Optometrist
- Hillsboro, TX
National Provider Identifier
1225292741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2348T
- Legal business name
- MICHAEL DELLIS, O.D., P.C.
- Practice address
- 1400 E Franklin St
Hillsboro, TX 76645-2676 - Phone
- (254) 582-2351
- Fax
- (254) 582-7017
- NPI assigned
- Jul 14, 2008
- Last updated
- Jun 21, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Dean Dellis, O.D.
- Title
- President
- Phone
- (254) 582-2351
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2348T | TX | Primary |
Addresses
Primary practice location
1400 E Franklin St
Hillsboro, TX 76645-2676
Mailing address
PO Box 779
Hillsboro, TX 76645-0779
Phone (254) 582-2351
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410019703 | Other | RAILROAD MEDICARE | |
| 000E94D | Other | BLUE CROSS BLUE SHIELD | |
| 093480401 | Medicaid | TX | |
| 0A3869 | Other | TX | MEDICARE GROUP PTAN |
Other names 1
- Dr. Michael Dellis
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340236800000",
"number": "1225292741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 779",
"city": "HILLSBORO",
"state": "TX",
"postal_code": "766450779",
"telephone_number": "254-582-2351",
"fax_number": "254-582-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E FRANKLIN ST",
"city": "HILLSBORO",
"state": "TX",
"postal_code": "766452676",
"telephone_number": "254-582-2351",
"fax_number": "254-582-7017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL DELLIS, O.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-14",
"last_updated": "2012-06-21",
"status": "A",
"authorized_official_last_name": "DELLIS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "DEAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "254-582-2351",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "2348T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410019703",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000E94D",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "093480401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "0A3869",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr. Michael Dellis",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Hillsboro, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.