Active NPI
Stephen Mark Wilkes, OD
- Optometrist
- Dallas, TX
National Provider Identifier
1255317202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3238TG
- Practice address
- 2744 S Buckner Blvd
Dallas, TX 75227-6903 - Phone
- (214) 388-9767
- Fax
- (214) 388-4753
- NPI assigned
- Dec 21, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3238TG | TX | Primary |
Addresses
Primary practice location
2744 S Buckner Blvd
Dallas, TX 75227-6903
Mailing address
2002 Merrimac TRL
Garland, TX 75043-1235
Phone (972) 840-0822
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041110000259 | TX | Practitioner - Optometry | 4486617404 | Practice locations: Dallas, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3238TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buckner Vision, P.a. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255317202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 MERRIMAC TRL",
"city": "GARLAND",
"state": "TX",
"postal_code": "750431235",
"telephone_number": "972-840-0822",
"fax_number": "214-388-4753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2744 S BUCKNER BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752276903",
"telephone_number": "214-388-9767",
"fax_number": "214-388-4753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKES",
"first_name": "STEPHEN",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "3238TG",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.