Organization Active NPI

Blink Eye Associates, PLLC

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1609251693
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8141-TG Issued in TX
Legal business name
BLINK EYE ASSOCIATES, PLLC
Practice address
8917 Tehama Ridge Parkway
Fort Worth, TX 76177-0000
Phone
(817) 879-7282
NPI assigned
Jul 20, 2015
Last updated
Nov 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Dr. Pankil Shah, O.D.NPI 1417397993
Title
Optometrist
Phone
(817) 879-7282

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 8141-TG TX Primary

Addresses

Primary practice location

8917 Tehama Ridge Parkway
Fort Worth, TX 76177-0000

Mailing address

8917 Tehama Ridge Parkway
Fort Worth, TX 76177-0000
Phone (817) 879-7282

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1609251693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8917 TEHAMA RIDGE PARKWAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761770000",
            "telephone_number": "817-879-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8917 TEHAMA RIDGE PARKWAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761770000",
            "telephone_number": "817-879-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLINK EYE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PANKIL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "817-879-7282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8141-TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.