Organization Active NPI

Texoma Eye Associates LLP

  • Ophthalmology Physician
  • Prosper, TX
National Provider Identifier
1518467604
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TEXOMA EYE ASSOCIATES LLP
Practice address
170 N Preston Rd Ste 10
Prosper, TX 75078-8650
Phone
(972) 347-1010
NPI assigned
Feb 15, 2018
Organization subpart
Yes
Parent organization
TEXOMA EYE ASSOCIATES, LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Authorized official

Name
Clinton Arvin LongNPI 1083773428
Title
Partner
Phone
(903) 892-2020

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
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

170 N Preston Rd Ste 10
Prosper, TX 75078-8650

Mailing address

2203 N FM 1417
Sherman, TX 75092-2351
Phone (903) 892-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080131000155 TX Part B Supplier - Clinic/Group Practice 6507948403 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Allen, TX; Sherman, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Texoma Eye Associates LLP

Locations

2203 N FM 1417
Sherman, TX 75092
Phone (214) 666-4663

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1518467604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 N FM 1417",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750922351",
            "telephone_number": "903-892-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N PRESTON RD STE 10",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788650",
            "telephone_number": "972-347-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA EYE ASSOCIATES LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXOMA EYE ASSOCIATES, LLP",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "ARVIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "903-892-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.