Trophy Club Vision Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TROPHY CLUB VISION CARE PLLC

Doing business as

Trophy Club Vision Care

Practice address

2240 E Highway 114 Ste 620
Trophy Club, TX 76262-6728

Phone

(682) 831-0999

Fax

(682) 831-0998

NPI assigned

Aug 13, 2019

Last updated

Sep 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff Noel, O.D.

Title

Ceo

Phone

(817) 905-2019

Specialties & licenses 1

Addresses

Other names 1

• Trophy Club Vision Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Jeffrey M Noel, O.D.

  • Corneal and Contact Management Optometrist
  • Trophy Club, TX
  • NPI 1568539286
  Medicare reassignment NPD

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1447806757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 BROOKS CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 E HIGHWAY 114 STE 620",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762626728",
            "telephone_number": "682-831-0999",
            "fax_number": "682-831-0998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "465 Brooks Ct",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760921927",
            "country_code": "US",
            "telephone_number": "682-831-0999",
            "fax_number": "682-831-0998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TROPHY CLUB VISION CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-905-2019",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trophy Club Vision Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trophy Club Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trophy Club Medical Center LP (Baylor Scott & White Medical Center - Trophy Club)
• Trophy Club Medical Services, LLP (Trophy Club Family Medicine)
• Trophy Club Pediatrics PA
• Trophy Club Smiles PLLC
• Trophy Club Vision Care LLP
• Trophy Dental PA
• Trophy Smile Studio
• True Medicine, PA
• Tyler Oral & Facial Surgery Inc.
• Oluchi Ijeoma Uwajumogu, NP 1051106

• Optometrist in Trophy Club, TX
• Providers in Trophy Club, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.