Individual provider Active NPI

Prashant Jyothi, O.D.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1649355272
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4283T Issued in TX
Practice address
8989 Skillman St
Dallas, TX 75243-8213
Phone
(972) 248-4008
Fax
(214) 447-9577
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4283T TX Primary

Addresses

Primary practice location

8989 Skillman St
Dallas, TX 75243-8213

Mailing address

8989 Skillman St
Dallas, TX 75243-8213
Phone (972) 248-4008

Other identifiers 1

IdentifierTypeStateIssuer
0195133-01MedicaidTX

Other names 1

  • Prashant Jyothi Other name

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
I20100713000332 TX Practitioner - Optometry 4587796420 Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8989 Skillman St
Dallas, TX 75243-8213
Phone (972) 841-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prashant Jyothi, OD Optometrist CurrentSince Oct 16, 1991 Accepting new patients

Locations

8989 Skillman St
Dallas, TX 75243
Phone (214) 341-2023

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1649355272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8989 SKILLMAN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752438213",
            "telephone_number": "972-248-4008",
            "fax_number": "214-447-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8989 SKILLMAN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752438213",
            "telephone_number": "972-248-4008",
            "fax_number": "214-447-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JYOTHI",
        "first_name": "PRASHANT",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4283T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0195133-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRASHANT",
            "last_name": "JYOTHI",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.