Pediatric Ophthalmology PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PEDIATRIC OPHTHALMOLOGY PA

Practice address

6200 W Parker Rd
# 508
Plano, TX 75093-7939

Phone

(972) 981-8389

Fax

(972) 981-3242

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

David R Stager Sr., MD

Title

President

Phone

(214) 369-6434

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1558484261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 DOUGLAS AVE",
            "address_2": "STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255923",
            "telephone_number": "214-369-6434",
            "fax_number": "214-696-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 W PARKER RD",
            "address_2": "# 508",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937939",
            "telephone_number": "972-981-8389",
            "fax_number": "972-981-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC OPHTHALMOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "STAGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-369-6434",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158493001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ6189",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Hospital Physicians of North Texas, PA
• Pediatric Imaging Associates LLC
• Pediatric Neuropsychological Services, PLLC
• Pediatric Offices at Willow Bend
• Pediatric Offices at Willow Bend Association
• Pediatric Ophthalmology Partners of Texas PLLC
• Pediatric Sleep Institute
• Pediatric Specialists of Plano
• Pediatric Surgical Associates
• Pediatrics After Hours, P.a.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.