Active NPI
Texas Eye and Laser Center, PA
- Ophthalmology Physician
- Hurst, TX
National Provider Identifier
1437236262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- TEXAS EYE AND LASER CENTER, PA
- Practice address
- 1872 Norwood Dr
200
Hurst, TX 76054-3066 - Phone
- (817) 540-6060
- Fax
- (817) 553-7994
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra Dudney
- Title
- Practice Administrator
- Phone
- (817) 540-6060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1872 Norwood Dr
200
Hurst, TX 76054-3066
Mailing address
1872 Norwood Dr
200
Hurst, TX 76054-3066
Phone (817) 540-6060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031210000974 | TX | Part B Supplier - Clinic/Group Practice | 7315843257 |
Receives reassigned benefits from 12 practitioners Practice locations: Fort Worth, TX; Hurst, TX; Cleburne, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2084943 | Texas Eye and Laser Center | Certificate of waiver | Oct 5, 2026 |
National Provider Directory
National Provider DirectoryLocations
5000 Collinwood Ave
Ft Worth, TX 76107
Phone (817) 594-0914
1872 Norwood Dr
Ste 200
Hurst, TX 76054
Phone (817) 540-6060
1872 Norwood Dr
Ste 100
Hurst, TX 76054
Phone (817) 534-0200
933 Hilltop Dr
Ste 101
Weatherford, TX 76086
Phone (817) 540-6060
Practitioners & affiliated clinicians
Practitioners 12
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": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576108800000",
"number": "1437236262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1872 NORWOOD DR",
"address_2": "200",
"city": "HURST",
"state": "TX",
"postal_code": "760543066",
"telephone_number": "817-540-6060",
"fax_number": "817-553-7994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1872 NORWOOD DR",
"address_2": "200",
"city": "HURST",
"state": "TX",
"postal_code": "760543066",
"telephone_number": "817-540-6060",
"fax_number": "817-553-7994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS EYE AND LASER CENTER, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2019-12-12",
"certification_date": "2019-12-12",
"status": "A",
"authorized_official_last_name": "DUDNEY",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "817-540-6060"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.