Individual provider Active NPI

Allen Boris Safir, O.D.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1356385587
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6651 T Issued in TX
Practice address
4414 Lemmon Ave
Dallas, TX 75219-2142
Phone
(214) 522-3937
Fax
(214) 520-8646
NPI assigned
Jun 16, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6651 T TX Primary
Optometrist 152W00000X OPC 3947 FL

Addresses

Primary practice location

4414 Lemmon Ave
Dallas, TX 75219-2142

Mailing address

4414 Lemmon Ave
Dallas, TX 75219-2142
Phone (214) 522-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041116001295 TX Practitioner - Optometry 9638133952 Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4414 Lemmon Ave
Dallas, TX 75219-2142
Phone (214) 522-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3947FLMDOptometrist
6651 TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye 2 Eye Care, PLLC Optometrist Past Accepting new patients
Rodney Robertson OD PC Optometrist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356385587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 LEMMON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752192142",
            "telephone_number": "214-522-3937",
            "fax_number": "214-520-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LEMMON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752192142",
            "telephone_number": "214-522-3937",
            "fax_number": "214-520-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFIR",
        "first_name": "ALLEN",
        "middle_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6651 T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3947",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.