J Daniel Penick Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

0187OT Issued in TX

Legal business name

J DANIEL PENICK INC

Doing business as

Dallas Eye Associates

Practice address

6500 Greenville Ave
Suite 150
Dallas, TX 75206-1014

Phone

(214) 692-1901

Fax

(214) 692-1930

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James Daniel Penick, OD

Title

Provider/Proprietor

Phone

(214) 692-1901

Specialties & licenses 1

Addresses

Other names 1

• DALLAS EYE ASSOCIATES Doing business as

Locations

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1508041039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 GREENVILLE AVE",
            "address_2": "SUITE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061014",
            "telephone_number": "214-692-1901",
            "fax_number": "214-692-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 GREENVILLE AVE",
            "address_2": "SUITE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061014",
            "telephone_number": "214-692-1901",
            "fax_number": "214-692-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J DANIEL PENICK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "PENICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PROVIDER/PROPRIETOR",
        "authorized_official_telephone_number": "214-692-1901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "0187OT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DALLAS EYE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.