Organization Active NPI

Prime Eye Care, P.a.

  • Ophthalmology Physician
  • Rockwall, TX
National Provider Identifier
1639286727
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PRIME EYE CARE, P.A.
Practice address
2006 S Goliad Street
Suite 230
Rockwall, TX 75087-4800
Phone
(972) 722-0101
Fax
(972) 722-0105
NPI assigned
Aug 24, 2006
Last updated
Jul 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Dr. James Safar, M.D.NPI 1518916626
Title
Owner
Phone
(972) 722-0101

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2006 S Goliad Street
Suite 230
Rockwall, TX 75087-4800

Mailing address

2006 S Goliad Street
Suite 230
Rockwall, TX 75087-4800
Phone (972) 722-0101

Other identifiers 1

IdentifierTypeStateIssuer
165284401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040617001655 TX Part B Supplier - Clinic/Group Practice 4587648233 Receives reassigned benefits from 1 practitioner
Practice locations: Rockwall, TX

National Provider Directory

National Provider Directory

Locations

2006 S Goliad St
Ste 230
Rockwall, TX 75087
Phone (972) 722-0101

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": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1639286727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 S GOLIAD STREET",
            "address_2": "SUITE 230",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874800",
            "telephone_number": "972-722-0101",
            "fax_number": "972-722-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 S GOLIAD STREET",
            "address_2": "SUITE 230",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874800",
            "telephone_number": "972-722-0101",
            "fax_number": "972-722-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME EYE CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "SAFAR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-722-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165284401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.