Individual provider Active NPI

Snega Mary Kalaparambath, OD

  • Optometrist
  • Dallas, TX
National Provider Identifier
1467137422
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10855 Issued in TX
Practice address
400 S Zang Blvd Ste 804
Dallas, TX 75208-6643
Phone
(214) 941-8923
NPI assigned
Jun 19, 2023
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10855 TX Primary

Addresses

Primary practice location

400 S Zang Blvd Ste 804
Dallas, TX 75208-6643

Mailing address

4401 Martin Luther King Blvd
Houston, TX 77204-2020

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231031003687 TX Practitioner - Optometry 2860848595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gaze Optometry PLLCGroup PAC ID 1759710684, 6 clinicians

Practice addresses (Care Compare)

2701 S Interstate 35
Round Rock, TX 78664-7320
Phone (512) 388-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10855TXMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Txo 2 0 PLLC Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Gaze Optometry, PLLC Optometrist CurrentSince Oct 28, 2024 Accepting new patients
Jerry S. Jacobs, O.D., P.C. Optometrist CurrentSince Oct 8, 2023 Accepting new patients

Locations

710 E Ben White Blvd
Austin, TX 78704
Phone (512) 443-6588

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

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

6224 Camp Bowie Blvd
Ft Worth, TX 76116
Phone (817) 737-6281

2701 S Interstate 35
Round Rock, TX 78664
Phone (512) 218-3926

Organizations & group practices 3

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": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1467137422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 MARTIN LUTHER KING BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772042020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S ZANG BLVD STE 804",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752086643",
            "telephone_number": "214-941-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAPARAMBATH",
        "first_name": "SNEGA",
        "middle_name": "MARY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-10-04",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.