Organization Active NPI

Texas Eye Surgeons PA

  • Specialist
  • Richardson, TX
National Provider Identifier
1285989228
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PO532 Issued in TX
Legal business name
TEXAS EYE SURGEONS PA
Practice address
825 Lotus Dr
Richardson, TX 75081-5197
Phone
(469) 999-8850
Fax
(866) 482-0873
NPI assigned
Jul 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Abdulfatah M Ali, MDNPI 1053382937
Title
President
Phone
(469) 999-8850

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PO532 TX Primary

Addresses

Primary practice location

825 Lotus Dr
Richardson, TX 75081-5197

Mailing address

825 Lotus Dr
Richardson, TX 75081-5197
Phone (469) 999-8850

Other identifiers 3

IdentifierTypeStateIssuer
X0183272OtherCONTROLLED SUBSTANCE
PO532OtherTXSTATE LICENSE
1053382937OtherINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130124000082 TX Part B Supplier - Clinic/Group Practice 5092968164 Receives reassigned benefits from 5 practitioners
Practice locations: Azle, TX; Greenville, TX; Plano, TX

National Provider Directory

National Provider Directory

Locations

4215 Joe Ramsey Blvd E
Ste 110
Greenville, TX 75401
Phone (972) 379-3937

4108 W 15th St
Ste 200
Plano, TX 75093
Phone (972) 379-3937

Practitioners & affiliated clinicians

Practitioners 5

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": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1285989228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 LOTUS DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815197",
            "telephone_number": "469-999-8850",
            "fax_number": "866-482-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 LOTUS DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815197",
            "telephone_number": "469-999-8850",
            "fax_number": "866-482-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS EYE SURGEONS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ABDULFATAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-999-8850",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "PO532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "X0183272",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PO532",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1053382937",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.