Glaucoma Specialists of Texas SHP PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GLAUCOMA SPECIALISTS OF TEXAS SHP PA

Practice address

1602 Lancaster Dr
Suite 102
Grapevine, TX 76051-3574

Phone

(817) 885-7878

Fax

(817) 885-7444

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Barbara A Smythe, M DNPI 1609869692

Title

Physician/Chief Medical Officer

Phone

(817) 885-7878

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Glaucoma Consultants of Texas Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Sonal Harshad Patel, OD

  • Optometrist
  • Grapevine, TX
  • NPI 1306870969
  Medicare reassignment Care Compare group NPD
• Barbara Ann Smythe, M.D.

  • Specialist
  • Grapevine, TX
  • NPI 1609869692
  Medicare reassignment NPD Authorized official
• Varun Reddy

  • Glaucoma Specialist (Ophthalmology) Physician
  • New York, NY
  • NPI 1013361484

  TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1386728756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 LANCASTER DR",
            "address_2": "SUITE 102",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513574",
            "telephone_number": "817-885-7878",
            "fax_number": "817-885-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 LANCASTER DR",
            "address_2": "SUITE 102",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513574",
            "telephone_number": "817-885-7878",
            "fax_number": "817-885-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA SPECIALISTS OF TEXAS SHP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "SMYTHE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "817-885-7878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "006MN",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - PROVIDER",
            "identifier": "1609869692",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD4140",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glaucoma Consultants of Texas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glaucoma Consultants of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gloria Kay Gibson
• Morgan Gibson, OTD, OTR/L
• Reef Royal Gillum, DO
• Elizabeth Gitau
• Glade Crossing Dental, PA
• Shelby Leigh Gnepper, ASA
• Abigail Irene Salomon Gold, LPC
• Sheri L Golly, LCSW
• Sable Elizabeth Gonyea, MSW, LCSW
• Dorcas Gonzalez Andujar, M.D.

• Clinic/Center in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.