NPIMap

Organization Active NPI

Roger D. Nunn, MD, PA

Doing business as Denton Eye Center

  • Ophthalmology Physician
  • Denton, TX
National Provider Identifier
1306954128
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D9253 Issued in TX
Legal business name
ROGER D. NUNN, MD, PA
Doing business as
Denton Eye Center
Practice address
525 Bryan St Ste a
Denton, TX 76201-2795
Phone
(940) 382-1511
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Dr. Roger D Nunn, MDNPI 1891794285
Title
President
Phone
(940) 382-1511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X D9253 TX Primary

Addresses

Primary practice location

525 Bryan St Ste a
Denton, TX 76201-2795

Mailing address

525 Bryan St Ste a
Denton, TX 76201-2795
Phone (940) 382-1511

Other identifiers 2

IdentifierTypeStateIssuer
0072PWOtherTXBLUE CROSS BLUE SHIELD
P000M8804MedicaidTX

Other names 1

  • Denton Eye Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1306954128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 BRYAN ST STE A",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012795",
            "telephone_number": "940-382-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BRYAN ST STE A",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012795",
            "telephone_number": "940-382-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER D. NUNN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "NUNN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-382-1511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "D9253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0072PW",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000M8804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denton Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.