MHR Eye Association, P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MHR EYE ASSOCIATION, P.A.

Practice address

1310 N White Chapel Blvd Ste 208
Southlake, TX 76092-4308

Phone

(817) 310-6080

Fax

(817) 310-6014

NPI assigned

Dec 18, 2006

Last updated

Dec 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deanna Tidwell

Title

Administrator

Phone

(817) 310-6080

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

MHR Eye Association PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• MHR Eye Association, PC

  • Ophthalmology Physician
  • Bedford, TX
  • NPI 1225215494
  NPD tax ID
• MHR Eye Association, PC

  • Ophthalmology Physician
  • Southlake, TX
  • NPI 1427236090
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mingi Choi, OD

  • Optometrist
  • Arlington, TX
  • NPI 1174017453
  Medicare reassignment NPD
• Martin Hellmuth Reinke, M.D.

  • Ophthalmology Physician
  • Southlake, TX
  • NPI 1710916101
  Medicare reassignment NPD
• Carl Kelley Marling, MD

  • Ophthalmology Physician
  • Bedford, TX
  • NPI 1801847793
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1518020841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N WHITE CHAPEL BLVD STE 208",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924308",
            "telephone_number": "817-310-6080",
            "fax_number": "817-310-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N WHITE CHAPEL BLVD STE 208",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924308",
            "telephone_number": "817-310-6080",
            "fax_number": "817-310-6014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 N White Chapel Blvd",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760924308",
            "country_code": "US",
            "telephone_number": "817-310-6080",
            "fax_number": "817-310-6014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7433 Las Colinas Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750637576",
            "country_code": "US",
            "telephone_number": "972-556-1915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MHR EYE ASSOCIATION, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "TIDWELL",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-310-6080"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "0007NC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5158536",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Methodist Hospitals of Dallas (Methodist Southlake Medical Center)
• Metroplex Wellness, LLC (Metroplex Wellness)
• Amy Mettman, MD
• Metx, LLC (Miracle Ear Center)
• Rebeca F Meyer, LPC
• MHR Eye Association, PC
• Mhya Clinic PLLC
• Michael a. Bogdan, MD, PLLC
• Michael D. Bryan, MD
• Dee Michel, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.