NPIMap

Organization Active NPI

JW Eye Associates, PLLC

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1285679803
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
JW EYE ASSOCIATES, PLLC
Practice address
11442 N. Central Expressway
Dallas, TX 75243
Phone
(214) 754-0000
Fax
(214) 379-1849
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Jennifer Boyd Baldock
Title
Officer and Authorized Official
Phone
(615) 234-5954

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Eyewear Supplier 332H00000X
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

11442 N. Central Expressway
Dallas, TX 75243

Mailing address

11442 N. Central Expressway
Dallas, TX 75243
Phone (214) 754-0000

Other identifiers 1

IdentifierTypeStateIssuer
084127201MedicaidTX

Other names 1

  • Key Whitman Eye Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040602001225 TX Part B Supplier - Clinic/Group Practice 6305828567 Receives reassigned benefits from 48 practitioners
10 other NPIs on this enrollment
Practice locations: Arlington, TX; Rockwall, TX; Richardson, TX; Plano, TX; Mesquite, TX; McKinney, TX; Greenville, TX; Grapevine, TX…

National Provider Directory

National Provider Directory
Tax ID family
JW Eye Associates PLLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

900 N Davis Dr Ste 400
Arlington, TX 76012

11442 N Central Expy
Ste 130
Dallas, TX 75243

3400 N Tarrant Pkwy
Fort Worth, TX 76177

11445 Dallas Pkwy
Ste 290
Frisco, TX 75033

11445 Dallas Pkwy
Frisco, TX 75033

Interoperability endpoints

  • Direct secure messaging: klee@kwec.intellechartdirect.net
  • Direct secure messaging: dtassabhji@kwec.intellechartdirect.net
  • Direct secure messaging: chong@kwec.intellechartdirect.net
  • Direct secure messaging: fhaq@kwec.intellechartdirect.net
  • Direct secure messaging: lmay@kwec.intellechartdirect.net
  • Direct secure messaging: pkishbaugh@kwec.intellechartdirect.net
  • Direct secure messaging: spatel@kwec.intellechartdirect.net
  • Direct secure messaging: jtran@kwec.intellechartdirect.net
  • Direct secure messaging: fparmer@kwec.intellechartdirect.net
  • Direct secure messaging: jwhitman@kwec.intellechartdirect.net
  • Direct secure messaging: bciminera@kwec.intellechartdirect.net
  • Direct secure messaging: rsanchez@kwec.intellechartdirect.net
  • Direct secure messaging: tleach@kwec.intellechartdirect.net
  • Direct secure messaging: jheczko@kwec.intellechartdirect.net
  • Direct secure messaging: mdavis@kwec.intellechartdirect.net
  • Direct secure messaging: jalbarracin@kwec.intellechartdirect.net
  • Direct secure messaging: nchisty@kwec.intellechartdirect.net
  • Direct secure messaging: kbachus@kwec.intellechartdirect.net
  • Direct secure messaging: rrobertson@kwec.intellechartdirect.net
  • Direct secure messaging: ageorge@kwec.intellechartdirect.net

Ownership & related parties

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1285679803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11442 N. CENTRAL EXPRESSWAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "214-754-0000",
            "fax_number": "214-379-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11442 N. CENTRAL EXPRESSWAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "214-754-0000",
            "fax_number": "214-379-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JW EYE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084127201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Key Whitman Eye Center",
            "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 Feb 9, 2024; 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.