Organization Active NPI

Today's Vision Oak Cliff PLLC

  • Optometrist
  • Dallas, TX
National Provider Identifier
1407181043
Registry record updated Oct 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7234T Issued in TX
Legal business name
TODAY'S VISION OAK CLIFF PLLC
Practice address
3420 W Illinois Ave
Suite 700
Dallas, TX 75211-8722
Phone
(214) 331-4700
Fax
(214) 331-4712
NPI assigned
Oct 15, 2009
Last updated
Oct 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2010

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

Authorized official

Name
Omar Gonzalez, O.D.NPI 1275796179
Title
President
Phone
(214) 331-4700

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 7234T TX Primary

Addresses

Primary practice location

3420 W Illinois Ave
Suite 700
Dallas, TX 75211-8722

Mailing address

3420 W Illinois Ave
Suite 700
Dallas, TX 75211-8722
Phone (214) 331-4700

Other identifiers 2

IdentifierTypeStateIssuer
2107096-01MedicaidTX
7234TOtherTXTEXAS OPTOMETRY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091120000042 TX Part B Supplier - Clinic/Group Practice 7012056625 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

3420 W Illinois Ave
Ste 700
Dallas, TX 75211
Phone (214) 331-4700

3814 W Illinois Ave
Dallas, TX 75211
Phone (214) 331-4700

Practitioners & affiliated clinicians

Practitioners 1

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": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286755200000",
    "number": "1407181043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 W ILLINOIS AVE",
            "address_2": "SUITE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752118722",
            "telephone_number": "214-331-4700",
            "fax_number": "214-331-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 W ILLINOIS AVE",
            "address_2": "SUITE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752118722",
            "telephone_number": "214-331-4700",
            "fax_number": "214-331-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODAY'S VISION OAK CLIFF PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2010-10-11",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-331-4700",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7234T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2107096-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRY LICENSE",
            "identifier": "7234T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2010; 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.