Dallas Eye and Ear PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

DALLAS EYE AND EAR PLLC

Practice address

1703 N Beckley Ave
Dallas, TX 75203-1007

Phone

(214) 987-2875

Fax

(214) 946-9877

NPI assigned

Aug 24, 2017

Last updated

Jul 21, 2022By 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

Angela Phillips

Title

Practice Manager

Phone

(214) 987-2875

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dallas Eye and Ear Optical, PLLC

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1891320826

  O20200513002053

  Same enrollment

Tax ID family

Dallas Eye and Ear2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dallas Eye and Ear Optical, PLLC

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1891320826
  NPD tax ID

Practitioners 5

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.

• Linda L Burk, MD

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1194757328
  Medicare reassignment NPD
• Amy Belloli Conner, OD

  • Optometrist
  • Houston, TX
  • NPI 1558881276
  Medicare reassignment NPD
• Jane Elizabeth Gilmore, MD

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1104386564
  Medicare reassignment NPD
• Chelsey Julieann Krambeer, MD

  • Ophthalmology Physician
  • Zephyrhills, FL
  • NPI 1093276768

  TX

  Medicare reassignment NPD
• Leah Marie Bohnert, OD

  • Optometrist
  • Fort Worth, TX
  • NPI 1467932558
  NPD

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629595327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 N BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031007",
            "telephone_number": "214-987-2875",
            "fax_number": "214-946-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 N BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031007",
            "telephone_number": "214-987-2875",
            "fax_number": "214-946-9877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10740 N Central Expy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752312162",
            "country_code": "US",
            "telephone_number": "214-987-2875",
            "fax_number": "214-946-9877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DALLAS EYE AND EAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "214-987-2875"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas ENT and Allergy Center (Dallas ENT Head and Neck Surgery Center)
• Dallas Equipment Supply Inc
• Dallas ER LLC
• Dallas Esthetics, PLLC
• Dallas Eye and Ear Optical, PLLC
• Dallas Eye Care Associates PLLC (Dallas Eye Care Assocaites)
• Dallas Eyeworks Inc
• Dallas Family Psychiatry PLLC
• Dallas Federal Physical Therapy and Rehabilitation LLC
• Dallas Fertility Center - Baylor LLC

• Ophthalmology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.