Organization Active NPI

Cedar Hill Eye Care PLLC

  • Corneal and Contact Management Optometrist
  • Cedar Hill, TX
National Provider Identifier
1366036642
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
Legal business name
CEDAR HILL EYE CARE PLLC
Practice address
818 N Highway 67 Ste 104
Cedar Hill, TX 75104-2102
Phone
(972) 293-2020
Fax
(972) 637-9121
NPI assigned
Feb 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Dr. Charles Arnold Foster, OD
Title
Insurance Cord
Phone
(214) 293-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X Primary

Addresses

Primary practice location

818 N Highway 67 Ste 104
Cedar Hill, TX 75104-2102

Mailing address

818 N Highway 67 Ste 104
Cedar Hill, TX 75104-2102
Phone (972) 293-2020

Other identifiers 1

IdentifierTypeStateIssuer
1578666012MedicaidTX

Other names 1

  • Cedar Hill Eyecare PLLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL PHARMACY Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

818 N Highway 67
Ste 104
Cedar Hill, TX 75104
Phone (972) 293-2020

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1366036642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N HIGHWAY 67 STE 104",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042102",
            "telephone_number": "972-293-2020",
            "fax_number": "972-637-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N HIGHWAY 67 STE 104",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042102",
            "telephone_number": "972-293-2020",
            "fax_number": "972-637-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HILL EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "INSURANCE CORD",
        "authorized_official_telephone_number": "214-293-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578666012",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PHARMACY",
            "affiliation": "N",
            "endpointDescription": "MEDICATION",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "818 N Highway 67 Ste 104",
            "city": "Cedar Hill",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751042102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cedar Hill Eyecare PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.