Organization Active NPI

Denton Eye Consultants PLLC

  • Ophthalmology Physician
  • Denton, TX
National Provider Identifier
1326877150
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DENTON EYE CONSULTANTS PLLC
Practice address
209 N Bonnie Brae St Ste 303
Denton, TX 76201-3749
Phone
(404) 242-9161
NPI assigned
Jul 30, 2024
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Oren N Fass, MDNPI 1417954819
Title
Manager
Phone
(404) 242-9161

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
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

209 N Bonnie Brae St Ste 303
Denton, TX 76201-3749

Mailing address

7607 Burns Run
Dallas, TX 75248-2321
Phone (404) 242-9161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240903000983 TX Part B Supplier - Clinic/Group Practice 7618416710 Receives reassigned benefits from 1 practitioner
Practice locations: Denton, TX

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": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1326877150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 BURNS RUN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752482321",
            "telephone_number": "404-242-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N BONNIE BRAE ST STE 303",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013749",
            "telephone_number": "404-242-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTON EYE CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "FASS",
        "authorized_official_first_name": "OREN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-242-9161",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 30, 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.