Organization Active NPI

Anthony Chapman OD, PA

  • Optometrist
  • Dallas, TX
National Provider Identifier
1265769129
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05769 Issued in TX
Legal business name
ANTHONY CHAPMAN OD, PA
Practice address
5706 E Mockingbird LN Ste 190
Dallas, TX 75206-5421
Phone
(214) 912-0698
Fax
(214) 987-6914
NPI assigned
Nov 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Jon A Chapman, O.D.NPI 1154349306
Title
President
Phone
(214) 912-0698

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 05769 TX Primary

Addresses

Primary practice location

5706 E Mockingbird LN Ste 190
Dallas, TX 75206-5421

Mailing address

5706 E Mockingbird LN Ste 190
Dallas, TX 75206-5421
Phone (214) 912-0698

Other names 2

  • Master Eye Associates Doing business as
  • Today's Vision Mockingbird Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160908002134 TX Part B Supplier - Clinic/Group Practice 0244526796 Receives reassigned benefits from 3 practitioners
Practice locations: Dallas, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2119890Today'S Vision Mockingbird5706 E Mockingbird LN Suite 190, Dallas, TX 75206Certificate of waiverNov 1, 2026

National Provider Directory

National Provider Directory

Locations

5706 E Mockingbird Ln
Ste 190
Dallas, TX 75206
Phone (214) 912-0698

Practitioners & affiliated clinicians

Practitioners 4

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": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1265769129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5706 E MOCKINGBIRD LN STE 190",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065421",
            "telephone_number": "214-912-0698",
            "fax_number": "214-987-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5706 E MOCKINGBIRD LN STE 190",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065421",
            "telephone_number": "214-912-0698",
            "fax_number": "214-987-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY CHAPMAN OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-912-0698",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Master Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Master Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Today's Vision Mockingbird",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.