Pineywoods Eye Associates P a

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PINEYWOODS EYE ASSOCIATES P A

Practice address

4729 NE Stallings Dr
Nacogdoches, TX 75965-1607

Phone

(936) 564-2634

Fax

(936) 564-2311

NPI assigned

Apr 2, 2007

Last updated

May 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Dixon Golden, O.D.NPI 1568468585

Title

Owner

Phone

(936) 564-2634

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Pineywoods Eye Associates P a

  • Eyewear Supplier
  • Nacogdoches, TX
  • NPI 1710102280

  0648312363

  Same PAC ID

Tax ID family

Pineywoods Eye Associates P a2 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.

• Pineywoods Eye Associates P a

  • Eyewear Supplier
  • Nacogdoches, TX
  • NPI 1710102280
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Dixon Golden, O.D.

  • Optometrist
  • Center, TX
  • NPI 1568468585
  Medicare reassignment Care Compare group NPD Authorized official
• Gary Robert Golden, O.D.

  • Optometrist
  • Hemphill, TX
  • NPI 1568545309
  Medicare reassignment Care Compare group NPD
• Judy Jackson Hughes, O.D.

  • Optometrist
  • College Station, TX
  • NPI 1245481464
  Medicare reassignment Care Compare group NPD
• Randall Bruce Cox, O.D.

  • Optometrist
  • Center, TX
  • NPI 1568438372
  Medicare reassignment NPD
• Heather Swearengen Ihlo, OD

  • Optometrist
  • Center, TX
  • NPI 1871089540
  Medicare reassignment NPD
• Carmen Bailey Mackey, O.D.

  • Optometrist
  • Center, TX
  • NPI 1144474404
  Medicare reassignment NPD
• Jessica Alyse Tibbs, OD

  • Optometrist
  • Carthage, TX
  • NPI 1295406262
  Medicare reassignment NPD

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1386764215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651607",
            "telephone_number": "936-564-2634",
            "fax_number": "936-564-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651607",
            "telephone_number": "936-564-2634",
            "fax_number": "936-564-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEYWOODS EYE ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DIXON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-564-2634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080833901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline La-Shawn Pierre, OD
• Pine View Counseling and Consulting PLLC
• Kimberly Pineda, LOTA
• Piney Woods ER IV
• Piney Woods Orthopedics
• Pineywoods Eye Associates P a
• Pineywoods Heart, PLLC (Pineywoods Heart)
• Pinnacle Health Facilities XV LP (Lexington Place Nursing & Rehabilitation)
• Pioneer Heart Care, P.a.
• Pittany Group LLC

• Optometrist in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.