Individual provider Active NPI

Samareh Cunningham Azar, MD

  • Ophthalmology Physician
  • Tyler, TX
National Provider Identifier
1255968665
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
U9203 Issued in TX
Practice address
2440 E 5TH St
Tyler, TX 75701-3525
Phone
(903) 595-0500
NPI assigned
Mar 25, 2020
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Ophthalmology Physician 207W00000X U9203 TX Primary

Addresses

Primary practice location

2440 E 5TH St
Tyler, TX 75701-3525

Mailing address

2440 E 5TH St
Tyler, TX 75701-3525
Phone (903) 595-0500

Other practice location 1

608 S Palestine St
Athens, TX 75751
Phone (903) 675-6440

Other names 1

  • Dr. Samareh Stephanie Dadashazar Former name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240718004789 TX Practitioner - Ophthalmology 8820402670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2440 E 5TH St
Tyler, TX 75701-3525
Phone (903) 595-0500

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
96.27
Promoting interoperability
100
Improvement activities
40
Cost
76.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Eye Care Associates PLLC Ophthalmology CurrentSince Jul 14, 2024 Accepting new patients
East Texas Eye Care Associates PLLC CurrentSince Jul 14, 2024 Accepting new patients

Locations

608 S Palestine St
Athens, TX 75751
Phone (903) 675-6440

1440 S Main St
Lindale, TX 75771
Phone (903) 882-8990

2440 E 5th St
Tyler, TX 75701
Phone (903) 595-0500

408 S Main St
Winnsboro, TX 75494
Phone (903) 342-5799

Interoperability endpoints

  • Direct secure messaging: samareha@eyecaretyler.emadirect.md

Organizations & group practices 2

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1255968665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013525",
            "telephone_number": "903-595-0500",
            "fax_number": "903-595-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013525",
            "telephone_number": "903-595-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 S Palestine St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TX",
            "postal_code": "75751",
            "country_code": "US",
            "telephone_number": "903-675-6440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZAR",
        "first_name": "SAMAREH",
        "middle_name": "CUNNINGHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "U9203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMAREH",
            "last_name": "DADASHAZAR",
            "middle_name": "STEPHANIE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.