Organization Active NPI

Jonathan Cargo, O.D., P.a.

Doing business as Cargo Eye Care of Las Colinas

  • Optometrist
  • Irving, TX
National Provider Identifier
1396939138
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6294TG Issued in TX
Legal business name
JONATHAN CARGO, O.D., P.A.
Doing business as
Cargo Eye Care of Las Colinas
Practice address
1135 Kinwest Pkwy
Suite 100
Irving, TX 75063-3409
Phone
(972) 432-2020
Fax
(972) 594-0942
NPI assigned
Sep 5, 2007
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Dr. Jonathan P Cargo, O.D.NPI 1134154206
Title
President/ Optometrist
Phone
(972) 432-2020

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
Optometrist 152W00000X 6294TG TX Primary

Addresses

Primary practice location

1135 Kinwest Pkwy
Suite 100
Irving, TX 75063-3409

Mailing address

1135 Kinwest Pkwy
Suite 100
Irving, TX 75063-3409
Phone (972) 432-2020

Other names 1

  • Cargo Eye Care of Las Colinas Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081001000239 TX Part B Supplier - Clinic/Group Practice 9739257957 Receives reassigned benefits from 4 practitioners
Practice locations: Irving, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1062222Jonathan Cargo, O D, PA1135 Kinwest Parkway, Suite 100, Irving, TX 75063Certificate of waiverJul 7, 2028

National Provider Directory

National Provider Directory

Locations

1135 Kinwest Pkwy
Ste 100
Irving, TX 75063
Phone (972) 432-2020

Practitioners & affiliated clinicians

Practitioners 4

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": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1396939138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 KINWEST PKWY",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633409",
            "telephone_number": "972-432-2020",
            "fax_number": "972-594-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 KINWEST PKWY",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633409",
            "telephone_number": "972-432-2020",
            "fax_number": "972-594-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN CARGO, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "CARGO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/ OPTOMETRIST",
        "authorized_official_telephone_number": "972-432-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6294TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cargo Eye Care of Las Colinas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.