Organization Active NPI

Kuriachan Eye Institute, PLLC

  • Ophthalmology Physician
  • Irving, TX
National Provider Identifier
1225545460
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
Q0489 Issued in TX
Legal business name
KURIACHAN EYE INSTITUTE, PLLC
Practice address
6750 N Macarthur Blvd Ste 331
Irving, TX 75039
Phone
(469) 886-8888
Fax
(469) 886-8880
NPI assigned
Jan 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Vipin Prabhu Kuriachan, MDNPI 1043522337
Title
Owner/Manager
Phone
(979) 739-3387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Q0489 TX Primary

Addresses

Primary practice location

6750 N Macarthur Blvd Ste 331
Irving, TX 75039

Mailing address

316 Chester Dr
Lewisville, TX 75056-5859
Phone (979) 739-3387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180702000209 TX Part B Supplier - Clinic/Group Practice 7113273319 Receives reassigned benefits from 2 practitioners
Practice locations: Irving, TX

National Provider Directory

National Provider Directory

Locations

6750 N MacArthur Blvd
Ste 331
Irving, TX 75039
Phone (469) 886-8888

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1225545460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 CHESTER DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565859",
            "telephone_number": "979-739-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 N MACARTHUR BLVD STE 331",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75039",
            "telephone_number": "469-886-8888",
            "fax_number": "469-886-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURIACHAN EYE INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "KURIACHAN",
        "authorized_official_first_name": "VIPIN",
        "authorized_official_middle_name": "PRABHU",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "979-739-3387",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q0489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.