Individual provider Active NPI

Edward A. Makler, O.D.

  • Optometrist
  • Richardson, TX
National Provider Identifier
1598850133
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2138TG Issued in TX
Practice address
1332 S. Plano Road, #112
Richardson, TX 75081
Phone
(972) 690-4466
Fax
(972) 680-9518
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2138TG TX Primary

Addresses

Primary practice location

1332 S. Plano Road, #112
Richardson, TX 75081

Mailing address

1332 S. Plano Road, #112
Richardson, TX 75081
Phone (972) 690-4466

Other identifiers 1

IdentifierTypeStateIssuer
112447101MedicaidTX

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
I20110401000304 TX Practitioner - Optometry 1850582883 Practice locations: Richardson, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2138TGTXMDOptometrist
2138TXMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1598850133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 S. PLANO ROAD, #112",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75081",
            "telephone_number": "972-690-4466",
            "fax_number": "972-680-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 S. PLANO ROAD, #112",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75081",
            "telephone_number": "972-690-4466",
            "fax_number": "972-680-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKLER",
        "first_name": "EDWARD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2138TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112447101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.