Active NPI
Prashant Jyothi, O.D.
- Optometrist
- Dallas, TX
National Provider Identifier
1649355272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4283T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0195133-01 | Medicaid | TX |
Other names 1
- Prashant Jyothi
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prashant Jyothi, OD | Optometrist | Current | 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.
-
- Optometrist
- Dallas, TX
- NPI 1700517737
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.