Organization Active NPI

Enhanced Eye Care Texas

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1508516618
Registry record updated Jun 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ENHANCED EYE CARE TEXAS
Practice address
5325 McPherson Blvd Ste 125
Fort Worth, TX 76123-6028
Phone
(817) 935-8280
Fax
(817) 935-8281
NPI assigned
Mar 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2022

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

Authorized official

Name
Hiep Duong, ODNPI 1043627904
Title
Owner
Phone
(214) 729-7787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5325 McPherson Blvd Ste 125
Fort Worth, TX 76123-6028

Mailing address

1603 Hackney Dr
Mansfield, TX 76063-4262
Phone (214) 729-7787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230110002452 TX Part B Supplier - Clinic/Group Practice 8123498078 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

5325 McPherson Blvd
Ste 125
Fort Worth, TX 76123
Phone (817) 935-8280

5325 McPherson Blvd
Fort Worth, TX 76123

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654387200000",
    "number": "1508516618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 HACKNEY DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634262",
            "telephone_number": "214-729-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 MCPHERSON BLVD STE 125",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761236028",
            "telephone_number": "817-935-8280",
            "fax_number": "817-935-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED EYE CARE TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "HIEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-729-7787",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; 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.