Euene P Sholdra M. D. P.a

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

E9990 Issued in TX

Legal business name

EUENE P SHOLDRA M. D. P.A

Practice address

810 S .Main St.
Weatherford, TX 76086-5365

Phone

(817) 596-5020

Fax

(817) 613-8890

NPI assigned

Mar 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Eugene P Sholdra, M.D.

Title

Ophthalmologist

Phone

(817) 596-5020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1477827400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S MAIN ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865365",
            "telephone_number": "817-596-5020",
            "fax_number": "817-613-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S .MAIN ST.",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865365",
            "telephone_number": "817-596-5020",
            "fax_number": "817-613-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUENE P SHOLDRA M. D. P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "SHOLDRA",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "817-596-5020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "E9990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034228901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.