Organization Active NPI

Optimum Eyecare, Inc.

  • Optometrist
  • Arlington, TX
National Provider Identifier
1396766309
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTIMUM EYECARE, INC.
Practice address
6851 Matlock Road
Suite 111
Arlington, TX 76002-3519
Phone
(817) 419-8871
NPI assigned
Jul 22, 2006
Last updated
Feb 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Nga Thi Vu-TranNPI 1902827140
Title
President
Phone
(817) 419-8871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6851 Matlock Road
Suite 111
Arlington, TX 76002-3519

Mailing address

6851 Matlock Road
Suite 111
Arlington, TX 76002-3519
Phone (817) 419-8871

Other identifiers 1

IdentifierTypeStateIssuer
3788747-02MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170405002603 TX Part B Supplier - Clinic/Group Practice 5193001121 Receives reassigned benefits from 2 practitioners
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

Locations

6851 Matlock Rd
Ste 111
Arlington, TX 76002
Phone (817) 419-8871

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1396766309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 MATLOCK ROAD",
            "address_2": "SUITE 111",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760023519",
            "telephone_number": "817-419-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 MATLOCK ROAD",
            "address_2": "SUITE 111",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760023519",
            "telephone_number": "817-419-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "VU-TRAN",
        "authorized_official_first_name": "NGA",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-419-8871"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3788747-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.