Organization Active NPI

Dreamworks Eyecare

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1295274926
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DREAMWORKS EYECARE
Practice address
4420 N Tarrant Pkwy
Fort Worth, TX 76244-4922
Phone
(682) 593-7800
Fax
(832) 934-1161
NPI assigned
Feb 14, 2017
Last updated
Feb 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Dung Duy Nguyen, OD/OWNERNPI 1922499805
Title
OD/Owner
Phone
(682) 593-7800

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
Optometrist 152W00000X Primary

Addresses

Primary practice location

4420 N Tarrant Pkwy
Fort Worth, TX 76244-4922

Mailing address

4420 N Tarrant Pkwy
Fort Worth, TX 76244-4922
Phone (682) 593-7800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170501001973 TX Part B Supplier - Clinic/Group Practice 7214214279 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Worth, TX; Prosper, TX

National Provider Directory

National Provider Directory

Locations

4420 North Tarrant Pkwy
Fort Worth, TX 76244
Phone (682) 593-7800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1295274926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 N TARRANT PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444922",
            "telephone_number": "682-593-7800",
            "fax_number": "832-934-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 N TARRANT PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444922",
            "telephone_number": "682-593-7800",
            "fax_number": "832-934-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAMWORKS EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DUNG",
        "authorized_official_middle_name": "DUY",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "682-593-7800",
        "authorized_official_credential": "OD/OWNER"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.