Organization Active NPI

D Vision Eyecare PLLC

  • Optometrist
  • Allen, TX
National Provider Identifier
1609243484
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8614T Issued in TX
Legal business name
D VISION EYECARE PLLC
Practice address
2023 W McDermott Dr
Suite 290
Allen, TX 75013-4676
Phone
(972) 649-4441
NPI assigned
Aug 27, 2015
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Douglas M WikeNPI 1881883338
Title
Managing Partner
Phone
(214) 363-5991

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
Optometrist 152W00000X 8614T TX Primary

Addresses

Primary practice location

2023 W McDermott Dr
Suite 290
Allen, TX 75013-4676

Mailing address

2023 W McDermott Dr Ste 290
Allen, TX 75013-4678
Phone (972) 649-4441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151124002010 TX Part B Supplier - Clinic/Group Practice 6709186752 Receives reassigned benefits from 3 practitioners
Practice locations: Allen, TX

National Provider Directory

National Provider Directory

Locations

2023 W McDermott Dr
Ste 290
Allen, TX 75013
Phone (972) 649-4441

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1609243484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 W MCDERMOTT DR STE 290",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134678",
            "telephone_number": "972-649-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 W MCDERMOTT DR",
            "address_2": "SUITE 290",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134676",
            "telephone_number": "972-649-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D VISION EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2024-06-12",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "WIKE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "214-363-5991"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8614T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.