Organization Active NPI

Sonie Family Eyecare PLLC

  • Primary Care Clinic/Center
  • Arlington, TX
National Provider Identifier
1407096985
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
6385TG Issued in TX
Legal business name
SONIE FAMILY EYECARE PLLC
Practice address
4801 S Cooper St
Arlington, TX 76017-5928
Phone
(817) 419-9999
Fax
(817) 375-1712
NPI assigned
Feb 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Dr. Evelyn Okah Ayidu-Omo, O.DNPI 1437263647
Title
Owner
Phone
(817) 419-9999

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
Primary Care Clinic/Center 261QP2300X 6385TG TX Primary

Addresses

Primary practice location

4801 S Cooper St
Arlington, TX 76017-5928

Mailing address

4801 S Cooper St
Arlington, TX 76017-5928
Phone (817) 419-9999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090817000633 TX Part B Supplier - Clinic/Group Practice 6507910114 Receives reassigned benefits from 1 practitioner
Practice locations: Mansfield, TX

National Provider Directory

National Provider Directory

Locations

1724 E Broad St
Ste 120
Mansfield, TX 76063
Phone (817) 477-6684

213 E Debbie Ln
Mansfield, TX 76063
Phone (817) 477-6684

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1407096985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175928",
            "telephone_number": "817-419-9999",
            "fax_number": "817-375-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175928",
            "telephone_number": "817-419-9999",
            "fax_number": "817-375-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONIE FAMILY EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "AYIDU-OMO",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "OKAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-419-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "6385TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 24, 2009; 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.