Organization Active NPI

Dallas Services

  • Optometrist
  • Dallas, TX
National Provider Identifier
1245255108
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5703T Issued in TX
Legal business name
DALLAS SERVICES
Practice address
5442 La Sierra Dr
Dallas, TX 75231-4108
Phone
(214) 828-9900
Fax
(214) 828-9901
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Dr. Stephanie Helm Fleming, ODNPI 1457574576
Title
Clinic Director
Phone
(214) 828-9900

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5703T TX Primary

Addresses

Primary practice location

5442 La Sierra Dr
Dallas, TX 75231-4108

Mailing address

5442 La Sierra Dr
Dallas, TX 75231-4108
Phone (214) 828-9900

Other identifiers 1

IdentifierTypeStateIssuer
091737902MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120622000357 TX Part B Supplier - Clinic/Group Practice 9830089846 Receives reassigned benefits from 4 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

4242 Office Pkwy
Dallas, TX 75204
Phone (214) 828-9900

3717 W Camp Wisdom Rd
Dallas, TX 75237
Phone (214) 828-4600

5442 La Sierra Dr
Dallas, TX 75231
Phone (214) 328-9900

Practitioners & affiliated clinicians

Practitioners 5

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1245255108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5442 LA SIERRA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314108",
            "telephone_number": "214-828-9900",
            "fax_number": "214-828-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5442 LA SIERRA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314108",
            "telephone_number": "214-828-9900",
            "fax_number": "214-828-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "HELM",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "214-828-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5703T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091737902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.