NPIMap

Organization Active NPI

Txo 2 0 PLLC

  • Optometrist
  • Dallas, TX
National Provider Identifier
1427675073
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TXO 2 0 PLLC
Practice address
1201 Elm St Ste LL20
Dallas, TX 75270-2029
Phone
(214) 651-1000
Fax
(214) 665-1000
NPI assigned
Jun 30, 2020
Last updated
Sep 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
John Johnson, ODNPI 1194113621
Title
Officer
Phone
(785) 845-9655

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 NU Primary

Addresses

Primary practice location

1201 Elm St Ste LL20
Dallas, TX 75270-2029

Mailing address

1201 Elm St Ste LL20
Dallas, TX 75270-2029
Phone (214) 651-1000

Other practice location 1

6224 Camp Bowie Blvd
Ft Worth, TX 76116-5525
Phone (785) 845-9655

Other practice location 2

400 S Zang Blvd Ste 804
Dallas, TX 75208-6643
Phone (214) 941-8923

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200921001463 TX Part B Supplier - Clinic/Group Practice 5991123168 Receives reassigned benefits from 5 practitioners
Practice locations: Dallas, TX; Ft Worth, TX

National Provider Directory

National Provider Directory

Locations

1201 Elm St
Ste LL20
Dallas, TX 75270
Phone (214) 651-1000

400 S Zang Blvd
Ste 101
Dallas, TX 75208

Practitioners & affiliated clinicians

Practitioners 7

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": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1427675073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 ELM ST STE LL20",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752702029",
            "telephone_number": "214-651-1000",
            "fax_number": "214-651-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ELM ST STE LL20",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752702029",
            "telephone_number": "214-651-1000",
            "fax_number": "214-665-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6224 Camp Bowie Blvd",
            "address_purpose": "LOCATION",
            "city": "Ft Worth",
            "state": "TX",
            "postal_code": "761165525",
            "country_code": "US",
            "telephone_number": "785-845-9655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S Zang Blvd Ste 804",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752086643",
            "country_code": "US",
            "telephone_number": "214-941-8923",
            "fax_number": "214-941-8923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TXO 2 0 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "785-845-9655",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 14, 2023; 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.