South Dallas Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SOUTH DALLAS EYECARE

Practice address

200 Short Blvd
Dallas, TX 75232-1300

Phone

(214) 727-6542

NPI assigned

Feb 5, 2016

Organization subpart

No

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

Authorized official

Name

Dat Nguyen, OD

Title

Partner

Phone

(214) 277-3031

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1396103206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 CIMARRON DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750076302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SHORT BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752321300",
            "telephone_number": "214-727-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DALLAS EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DAT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "214-277-3031",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219435902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna H Sousa, MLP NP
• South Buckner Family Dentistry, PLLC
• South Carolina Outpatient Services, P.C.
• South Dallas Counseling
• South Dallas Dental PLLC
• South Dallas Medical Center Inc
• South Dallas Sleep Center LLC
• South Dallas Therapy
• South First Dental of Oakcliff
• South Hampton Multi-Specialty Clinic

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.