Eric Alan Packwood, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

L0479 Issued in TX

Practice address

321 S Henderson St
Fort Worth, TX 76104-1016

Phone

(817) 529-9949

Fax

(817) 529-9943

NPI assigned

Feb 2, 2006

Last updated

Dec 8, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Baylor College of Medicine, 1991

Medicare assignment

May accept Medicare assignment

Group practices

Pediatric Eye Specialists LLPGroup PAC ID 8022082437, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: epackwood75984@unitedregional.medalliesdirect.net
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/

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.

• Pediatric Eye Specialists LLP

  • Ophthalmology Physician
  • Fort Worth, TX
  • NPI 1760507149
  Medicare reassignment Care Compare group NPD
• Specialeyes Optical, LLC

  • Optometrist
  • Mansfield, TX
  • NPI 1124573092
  Authorized official Same address or phone
• Specialeyes Optical, LLC

  • Optometrist
  • Keller, TX
  • NPI 1679028542
  NPD (past) Authorized official
• Specialeyes Optical, LLC

  • Optometrist
  • Fort Worth, TX
  • NPI 1891150058
  Authorized official Same address or phone
• United Regional Health Care System Inc

  dba United Regional Heath Care System

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  NPD
• Specialeyes Optical, LLC

  • Optometrist
  • Denton, TX
  • NPI 1821564964
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1366414773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 S HENDERSON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041016",
            "telephone_number": "817-529-9949",
            "fax_number": "817-529-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S HENDERSON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041016",
            "telephone_number": "817-529-9949",
            "fax_number": "817-529-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKWOOD",
        "first_name": "ERIC",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L0479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pack Optical
• Andrew Pack, MD
• Christopher Shawn Pack, D.D.S.
• Leonard R. Pack, O.D.
• Whitney Childs Pack, CPNP-AC
• Sydney Padget, OTR
• Alyssa Padilla
• Audrey Padilla
• Gabriela Ana Padilla, LPC
• Melissa Padilla, LMSW

• Ophthalmology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.