Individual provider Active NPI

Natalia Temboni Caraballo, O.D.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1619426004
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9557TG Issued in TX
Practice address
2959 S Buckner Blvd
Dallas, TX 75227-6945
Phone
(214) 239-2176
Fax
(214) 239-2177
NPI assigned
Sep 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009327 NY
Optometrist 152W00000X 33589 CA
Optometrist 152W00000X 9557TG TX Primary

Addresses

Primary practice location

2959 S Buckner Blvd
Dallas, TX 75227-6945

Mailing address

622 Sunset Hill Dr
Rockwall, TX 75087-3219
Phone (480) 776-4162

Other practice location 1

622 Sunset Hill Dr
Rockwall, TX 75087-3219
Phone (480) 776-4162

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180820003078 TX Practitioner - Optometry 5597043109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Western University of Health Sciences College of Dental Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All-Care Eye ClinicGroup PAC ID 0840591236, 3 clinicians

Practice addresses (Care Compare)

2959 S Buckner Blvd
Suite 700
Dallas, TX 75227-6950
Phone (214) 239-2176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9557TXMDGeneral Practice Dentistry
009327NYMDOptometrist
9557TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
All Care Eye Clinic Optometrist Current Accepting new patients
Ryan C. Schamerloh, OD Optometrist CurrentSince Jul 1, 2021 Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

2959 S Buckner Blvd
Ste 700
Dallas, TX 75227
Phone (214) 206-4974

3720 Walnut Hill Ln
Ste 101
Dallas, TX 75229
Phone (214) 353-3398

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1619426004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 SUNSET HILL DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873219",
            "telephone_number": "480-776-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752276945",
            "telephone_number": "214-239-2176",
            "fax_number": "214-239-2177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 Sunset Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750873219",
            "country_code": "US",
            "telephone_number": "480-776-4162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMBONI CARABALLO",
        "first_name": "NATALIA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009327",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33589",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9557TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.