Thomas Merle Dvorak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3936T Issued in TX

Practice address

2703 Richmond Rd
Texarkana, TX 75503-2328

Phone

(903) 838-0783

Fax

(903) 831-6145

NPI assigned

Mar 15, 2007

Last updated

Jun 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Med Southwest, PLLC

  dba MyEyeDr.

  • Optometrist
  • Houston, TX
  • NPI 1609348739
  Medicare reassignment NPD
• Thomas M Dvorakpc

  • Optometrist
  • Mesquite, TX
  • NPI 1033517479
  NPD (past) Authorized official
• Med Southwest, PLLC

  dba MyEyeDr.

  • Optometrist
  • Mount Pleasant, TX
  • NPI 1316403611
  NPD
• Med Southwest, PLLC

  • Optometrist
  • Oklahoma City, OK
  • NPI 1679440762
  NPD

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1598899379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 RIDGE POINT DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751265354",
            "telephone_number": "469-273-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032328",
            "telephone_number": "903-838-0783",
            "fax_number": "903-831-6145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3434 Towne Crossing Blvd",
            "address_2": "Suite 112-B",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751502782",
            "country_code": "US",
            "telephone_number": "972-686-4738",
            "fax_number": "972-686-6490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DVORAK",
        "first_name": "THOMAS",
        "middle_name": "MERLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3936T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Dunbar
• Lori Leigh Duncan, CCC-SLP
• Richard Keneth Dunlap, DOCTOR OF PHARMACY
• Kris Duren
• Brian Frank Hunter Durham
• Eagle Dental Center of Texarkana PLLC (Eagle Dental Center PLLC)
• Amber L Easley, RD
• East Texas Border Health Clinic (Genesis PrimeCare)
• East Texas Border Health Clinic (GenesisPrimeCare)
• East Texas Border Health Clinic (Genesis PrimeCare)

• Optometrist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.