Prestige Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

9007315 Issued in TX

Legal business name

PRESTIGE EYECARE LLC

Practice address

10325 Lake June Rd
110
Dallas, TX 75217-5312

Phone

(972) 285-0660

NPI assigned

Sep 2, 2009

Last updated

Nov 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mina Pakzad, O.D.

Title

Optometrist

Phone

(405) 922-7291

Specialties & licenses 1

Addresses

Locations

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.

• Robert Phillip Weaver, D.C.

  • Chiropractor
  • Dallas, TX
  • NPI 1649677832
  NPD (past)

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1619100906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10325 LAKE JUNE RD STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752175318",
            "telephone_number": "972-285-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10325 LAKE JUNE RD",
            "address_2": "110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752175312",
            "telephone_number": "972-285-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "PAKZAD",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "405-922-7291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9007315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Presley, M.S.W.
• Jacqueline Miller Presson
• Ronald Prestage, CRNA
• Claude Brockman Prestidge, MD
• Prestige Dental PLLC
• Prestige Health LLC
• Prestige Home Health Inc
• Prestige Imaging, LLC
• Prestige Pain Partners PLLC
• Prestige Primary Care, P.a.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.