Organization Active NPI

North Texas Total Eye Care P a

  • Optometrist
  • Colleyville, TX
National Provider Identifier
1619178332
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4015TG Issued in TX
Legal business name
NORTH TEXAS TOTAL EYE CARE P A
Practice address
6114 Colleyville Blvd
Colleyville, TX 76034-5866
Phone
(817) 416-0333
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Dr. Richard A Driscoll, OD
Title
Optometrist Owner
Phone
(817) 656-5222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4015TG TX Primary

Addresses

Primary practice location

6114 Colleyville Blvd
Colleyville, TX 76034-5866

Mailing address

6114 Colleyville Blvd
Colleyville, TX 76034-6221
Phone (817) 416-0333

Other identifiers 2

IdentifierTypeStateIssuer
00Z626OtherTXMEDICARE
CH7421OtherTXRR MEDICARE

Other names 1

  • Total Eye Care Other name

National Provider Directory

National Provider Directory

Locations

5005 Colleyville Blvd
Ste 120
Colleyville, TX 76034
Phone (817) 656-5222

1834 Keller Pkwy
Keller, TX 76248

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1619178332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6114 COLLEYVILLE BLVD",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346221",
            "telephone_number": "817-416-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6114 COLLEYVILLE BLVD",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345866",
            "telephone_number": "817-416-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS TOTAL EYE CARE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "817-656-5222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4015TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00Z626",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CH7421",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Eye Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Total Eye Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.