Individual provider Active NPI

Andrew Bradford Pazandak, MD

  • Ophthalmology Physician
  • Irving, TX
National Provider Identifier
1417375775
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R6455 Issued in TX
Practice address
3100 N Macarthur Blvd
Irving, TX 75062-4451
Phone
(972) 258-6400
Fax
(972) 570-1103
NPI assigned
Apr 3, 2014
Last updated
May 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X R6455 TX Primary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X R6455 TX

Addresses

Primary practice location

3100 N Macarthur Blvd
Irving, TX 75062-4451

Mailing address

3100 N Macarthur Blvd
Irving, TX 75062-4451
Phone (972) 258-6400

Other practice location 1

8080 State Highway 121 Ste 110
McKinney, TX 75070-2903
Phone (469) 242-2020

Other identifiers 1

IdentifierTypeStateIssuer
1770753519OtherTXGROUP NPI (GARY R TYLOCK MD PROFESSIONAL ASSOCIATION)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180711000524 TX Practitioner - Ophthalmology 5991924052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at San Antonio, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JW Eye Associates, PLLCGroup PAC ID 6305828567, 35 clinicians

Practice addresses (Care Compare)

11442 N Central Expy
Key Whitman Eye Center
Dallas, TX 75243-6602
Phone (214) 754-0000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R6455TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Tylock-George Cosmetic PA CurrentSince Nov 17, 2024 Accepting new patients
JW Eye Associates, PLLC Ophthalmology CurrentSince Nov 12, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Ophthalmology CurrentSince Jul 7, 2018 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 7, 2018 Accepting new patients
Gary R Tylock MD PA Ophthalmology CurrentSince Aug 28, 2021 Accepting new patients
JW Eye Associates, PLLC Ophthalmology CurrentSince Nov 12, 2024 Accepting new patients
JW Eye Associates, PLLC Ophthalmology Past Accepting new patients
JW Eye Associates, PLLC Ophthalmology Past Accepting new patients

Locations

910 N Davis Dr
Ste 400
Arlington, TX 76012
Phone (817) 461-0199

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

11442 N Central Expy
Dallas, TX 75243
Phone (214) 220-3937

800 8th Ave
Ste 306
Fort Worth, TX 76104
Phone (817) 336-1300

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

2201 Westgate Plz
Grapevine, TX 76051
Phone (817) 410-2030

3100 N MacArthur Blvd
Irving, TX 75062
Phone (972) 258-6400

8080 State Highway 121
Ste 110
McKinney, TX 75070
Phone (469) 242-2020

5303 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Phone (214) 645-2300

Interoperability endpoints

  • Direct secure messaging: andrew.pazandakmd.p1@direct.ocltd.nextgenshare.com
  • Direct secure messaging: andrew.pazandakmd.p2@direct.ocltd.nextgenshare.com
  • Direct secure messaging: apazandak@kwec.intellechartdirect.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1417375775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624451",
            "telephone_number": "972-258-6400",
            "fax_number": "972-570-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624451",
            "telephone_number": "972-258-6400",
            "fax_number": "972-570-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8080 State Highway 121 Ste 110",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750702903",
            "country_code": "US",
            "telephone_number": "469-242-2020",
            "fax_number": "972-570-1103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAZANDAK",
        "first_name": "ANDREW",
        "middle_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "R6455",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "TX",
            "license": "R6455",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI (GARY R TYLOCK MD PROFESSIONAL ASSOCIATION)",
            "identifier": "1770753519",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.