NPIMap

Organization Active NPI

Ophthalmic Partners , PA

  • Ophthalmology Physician
  • Fort Worth, TX
National Provider Identifier
1356474050
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OPHTHALMIC PARTNERS , PA
Practice address
1201 Summit Ave
Fort Worth, TX 76102-4413
Phone
(817) 332-2020
Fax
(817) 332-4797
NPI assigned
Mar 13, 2007
Organization subpart
Yes
Parent organization
OPHTHALMIC PARTNERS , PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Brian E Flowers, MDNPI 1902802242
Title
Managing Partner
Phone
(817) 332-2020

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1201 Summit Ave
Fort Worth, TX 76102-4413

Mailing address

1201 Summit Ave
Fort Worth, TX 76102-4413
Phone (817) 332-2020

Other identifiers 2

IdentifierTypeStateIssuer
137346609MedicaidTX
0002AHOtherTXBCBS

Other names 1

  • Ophthalmology Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000188 TX Part B Supplier - Clinic/Group Practice 4587578364 Receives reassigned benefits from 17 practitioners
3 other NPIs on this enrollment
Practice locations: Fort Worth, TX; Granbury, TX; Hurst, TX; Weatherford, TX

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ophthalmic Partners TX2 organizations share this tax ID, including this one
Part of
Ophthalmic Partners TX

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3609 E US Hwy 377 Ste 103
Granbury, TX 76049

Interoperability endpoints

  • Direct secure messaging: bflowers@oafwtx.intellechartdirect.net
  • Direct secure messaging: tmargo@oafwtx.intellechartdirect.net
  • Direct secure messaging: cwarr@oafwtx.intellechartdirect.net
  • Direct secure messaging: shealey@oafwtx.intellechartdirect.net
  • Direct secure messaging: droberts@oafwtx.intellechartdirect.net
  • Direct secure messaging: jmyers@oafwtx.intellechartdirect.net
  • Direct secure messaging: rwarren@oafwtx.intellechartdirect.net
  • Direct secure messaging: aguardiola@oafwtx.intellechartdirect.net
  • Direct secure messaging: unair@oafwtx.intellechartdirect.net
  • Direct secure messaging: ahajovsky@oafwtx.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1356474050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SUMMIT AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024413",
            "telephone_number": "817-332-2020",
            "fax_number": "817-332-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SUMMIT AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024413",
            "telephone_number": "817-332-2020",
            "fax_number": "817-332-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC PARTNERS , PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPHTHALMIC PARTNERS , PA",
        "enumeration_date": "2007-03-13",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "817-332-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137346609",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0002AH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ophthalmology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 3, 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.