Individual provider Active NPI

Poonam Bhana, O.D

  • Optometrist
  • Carrollton, TX
National Provider Identifier
1508184268
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7230TG Issued in TX
Practice address
1500 W Hebron Pkwy
Suite 116
Carrollton, TX 75010-6530
Phone
(972) 428-3500
Fax
(972) 428-3501
NPI assigned
May 5, 2010
Last updated
Jul 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7230TG TX Primary

Addresses

Primary practice location

1500 W Hebron Pkwy
Suite 116
Carrollton, TX 75010-6530

Mailing address

1500 W Hebron Pkwy
Suite 116
Carrollton, TX 75010-6530
Phone (972) 428-3500

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
I20101207000397 TX Practitioner - Optometry 6103013966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 W Hebron Pkwy
Suite 116
Carrollton, TX 75010-6531
Phone (972) 428-3500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7230TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gemscorp Optometry PA Optometrist CurrentSince Aug 3, 2010 Accepting new patients

Locations

1500 W Hebron Pkwy
Ste 116
Carrollton, TX 75010
Phone (214) 393-3008

Organizations & group practices 1

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": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1508184268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W HEBRON PKWY",
            "address_2": "SUITE 116",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106530",
            "telephone_number": "972-428-3500",
            "fax_number": "972-428-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W HEBRON PKWY",
            "address_2": "SUITE 116",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106530",
            "telephone_number": "972-428-3500",
            "fax_number": "972-428-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANA",
        "first_name": "POONAM",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7230TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.