Individual provider Active NPI

Frank Bashaw, OD

  • Optometrist
  • Dallas, TX
National Provider Identifier
1245631324
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3443 Issued in TX
Practice address
9100 N Central Expy Ste 145
Dallas, TX 75231-5925
Phone
(214) 360-4786
NPI assigned
Sep 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3443 TX Primary

Addresses

Primary practice location

9100 N Central Expy Ste 145
Dallas, TX 75231-5925

Mailing address

119 W Harvard Dr
Garland, TX 75041-4502
Phone (972) 271-2074

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3443TXMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1245631324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W HARVARD DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750414502",
            "telephone_number": "972-271-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 N CENTRAL EXPY STE 145",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315925",
            "telephone_number": "214-360-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAW",
        "first_name": "FRANK",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-09",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3443",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.