Individual provider Active NPI

Carolyn R Carman, OD

  • Optometrist
  • Irving, TX
National Provider Identifier
1245241025
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3160TG Issued in TX
Practice address
7457 Las Colinas Blvd Ste 100
Irving, TX 75063-7561
Phone
(214) 382-3061
NPI assigned
Aug 10, 2006
Last updated
Apr 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3160TG TX Primary

Addresses

Primary practice location

7457 Las Colinas Blvd Ste 100
Irving, TX 75063-7561

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other identifiers 1

IdentifierTypeStateIssuer
093569401MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140328000038 TX Practitioner - Optometry 3577794965 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3160TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Houston System Optometrist CurrentSince Dec 31, 2013 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Apr 13, 2023 Accepting new patients
University of Houston CurrentSince Dec 31, 2013 Accepting new patients
Jeffrey L. Morer, OD, PA Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Apr 13, 2023 Accepting new patients
University of Houston System Optometrist Current Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

655 Taylor St
Fort Worth, TX 76102
Phone (817) 289-6800

2413 E Loop 820 N
Ft Worth, TX 76118
Phone (773) 426-9232

190 Heights Blvd
Houston, TX 77007
Phone (713) 527-8480

4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921

505 J Davis Armistead Bldg
Houston, TX 77204
Phone (713) 743-1921

7457 Las Colinas Blvd
#100
Irving, TX 75063
Phone (214) 382-3061

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1245241025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7457 LAS COLINAS BLVD STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637561",
            "telephone_number": "214-382-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMAN",
        "first_name": "CAROLYN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3160TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093569401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.