Individual provider Active NPI

Anand S. Kumar, OD

  • Optometrist
  • Dallas, TX
National Provider Identifier
1568406981
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
06306TG Issued in TX
Practice address
8202 Elam Rd
Suite #100
Dallas, TX 75217-4509
Phone
(214) 391-1119
NPI assigned
Jun 15, 2006
Last updated
Oct 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 06306TG TX Primary

Addresses

Primary practice location

8202 Elam Rd
Suite #100
Dallas, TX 75217-4509

Mailing address

8202 Elam Rd
Suite #100
Dallas, TX 75217-4509

Other identifiers 1

IdentifierTypeStateIssuer
173179601MedicaidTX

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
I20050204000219 TX Practitioner - Optometry 3870544174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8202 Elam Rd
Suite 100
Dallas, TX 75217-4509
Phone (214) 391-1119

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06306TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
East Dallas Family Eye Care PA Optometrist CurrentSince Jun 1, 2005 Accepting new patients
Setal Rana MD PA PastSince May 26, 2008 Accepting new patients

Organizations & group practices 2

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1568406981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 ELAM RD",
            "address_2": "SUITE #100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752174509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 ELAM RD",
            "address_2": "SUITE #100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752174509",
            "telephone_number": "214-391-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "ANAND",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06306TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173179601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.