Active NPI
Med Southwest, PLLC
- Optometrist
- Arlington, TX
National Provider Identifier
1306482385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MED SOUTHWEST, PLLC
- Practice address
- 4110 N Collins St
Arlington, TX 76005-4547 - Phone
- (817) 442-2934
- Fax
- (817) 274-3280
- NPI assigned
- Nov 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sue Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
4110 N Collins St
Arlington, TX 76005-4547
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names 1
- MyEyeDr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190221001481 | TX | Part B Supplier - Clinic/Group Practice | 4082952874 |
Receives reassigned benefits from 379 practitioners This NPI is an additional NPI on the enrollment |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2301527 | Med Southwest, PLLC | Certificate of waiver | Mar 26, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Med Southwest PLLC
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Optometrist
- Frisco, TX
- NPI 1356060503
-
- Optometrist
- Austin, TX
- NPI 1215851225
-
- Optometrist
- Spring, TX
- NPI 1225638380
-
- Optometrist
- Murphy, TX
- NPI 1225677115
-
- Optometrist
- College Station, TX
- NPI 1235778127
-
- Optometrist
- Pasadena, TX
- NPI 1235800368
-
- Optometrist
- Houston, TX
- NPI 1235891599
-
- Optometrist
- West Lake Hills, TX
- NPI 1245184753
-
- Optometrist
- McKinney, TX
- NPI 1245876309
-
- Optometrist
- Cedar Hill, TX
- NPI 1255949384
-
- Optometrist
- Dallas, TX
- NPI 1265077382
-
- Optometrist
- Plano, TX
- NPI 1265078323
Locations
4110 N Collins St
Arlington, TX 76005
Phone (817) 442-2934
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Houston, TX
- NPI 1821986415
-
- Optometrist
- Dallas, TX
- NPI 1952089971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653782400000",
"number": "1306482385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 N COLLINS ST",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760054547",
"telephone_number": "817-442-2934",
"fax_number": "817-274-3280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED SOUTHWEST, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-25",
"last_updated": "2022-05-29",
"certification_date": "2022-05-29",
"status": "A",
"authorized_official_last_name": "DOWNES",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "703-847-8899"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MyEyeDr.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2022; 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.