Organization Active NPI

T & B Eye Care Services LP

  • Optometrist
  • Dallas, TX
National Provider Identifier
1366646002
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
T & B EYE CARE SERVICES LP
Practice address
3900 W Wheatland Rd
Dallas, TX 75237-3468
Phone
(972) 780-7199
Fax
(972) 780-9157
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Mary Jackson
Title
Administrative Assistant
Phone
(972) 780-7199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3900 W Wheatland Rd
Dallas, TX 75237-3468

Mailing address

3900 W Wheatland Rd
Dallas, TX 75237-3468
Phone (972) 780-7199

Other identifiers 4

IdentifierTypeStateIssuer
1366646002OtherTXDMERC NPI#
1548489388OtherTXNPI#
1144285891OtherTXDR BURTON - NPI#
1316901291OtherTXDR, THOMAS -NPI#

Other names 1

  • 1ST EYE CARE Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930044085 TX DME Supplier - Physician - OptometristDME Supplier - Optician 7719066950 Practice locations: Dallas, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
T B Eye Care Services LP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3500 W 7th Ave
Ste 20
Corsicana, TX 75110
Phone (903) 875-1440

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1366646002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373468",
            "telephone_number": "972-780-7199",
            "fax_number": "972-780-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373468",
            "telephone_number": "972-780-7199",
            "fax_number": "972-780-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T & B EYE CARE SERVICES LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "972-780-7199"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC NPI#",
            "identifier": "1366646002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI#",
            "identifier": "1548489388",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR BURTON - NPI#",
            "identifier": "1144285891",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR, THOMAS -NPI#",
            "identifier": "1316901291",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1ST EYE CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.