Individual provider Active NPI

David F Skanchy

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Fort Worth, TX
National Provider Identifier
1649831462
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
U9086 Issued in TX
Practice address
321 S Henderson St
Fort Worth, TX 76104-1016
Phone
(817) 529-9949
Fax
(817) 529-9943
NPI assigned
Jun 24, 2019
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301508741 MI
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X U9086 TX Primary

Addresses

Primary practice location

321 S Henderson St
Fort Worth, TX 76104-1016

Mailing address

321 S Henderson St
Fort Worth, TX 76104-1016
Phone (817) 529-9949

Other practice location 1

1000 Wall St
Ann Arbor, MI 48105-1912
Phone (734) 764-4190

Other practice location 2

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4385

Other practice location 3

105 River Oaks Dr
Southlake, TX 76092-6791
Phone (817) 529-9949

Other practice location 4

4200 W University Dr Ste 320
Prosper, TX 75078-9805
Phone (817) 529-9949

Other practice location 5

2212 Emery St
Denton, TX 76201-1100
Phone (817) 529-9949

Other practice location 6

1106 Alexis Ct
Mansfield, TX 76063-3338
Phone (817) 529-9949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230814003492 MI Practitioner - Ophthalmology 2062749765 Reassigns benefits to 1 organization
I20240227002541 TX Practitioner - Ophthalmology 2062749765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at Houston, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Pediatric Eye Specialists LLPGroup PAC ID 8022082437, 5 clinicians

Practice addresses (Care Compare)

321 S Henderson St
Fort Worth, TX 76104-1016
Phone (817) 529-9949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301508741MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan Ophthalmology CurrentSince Jun 30, 2023 Accepting new patients
Pediatric Eye Specialists LLP Ophthalmology CurrentSince Feb 6, 2024 Accepting new patients
Regents of the University of Michigan CurrentSince Jun 30, 2023 Accepting new patients
Specialeyes Optical, LLC Past Accepting new patients
Specialeyes Optical, LLC PastSince Feb 6, 2024 Accepting new patients
Specialeyes Optical, LLC Past Accepting new patients

Locations

1000 Wall St
Ann Arbor, MI 48105
Phone (734) 763-1415

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

2212 Emery St
Denton, TX 76201
Phone (817) 529-9949

321 S Henderson St
Fort Worth, TX 76104
Phone (817) 529-9929

1106 Alexis Ct
Mansfield, TX 76063
Phone (817) 529-9929

4200 W University Dr
Ste 320
Prosper, TX 75078
Phone (469) 344-7667

105 River Oaks Dr
Southlake, TX 76092
Phone (817) 529-9949

Organizations & group practices 6

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1649831462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 S HENDERSON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041016",
            "telephone_number": "817-529-9949",
            "fax_number": "817-529-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S HENDERSON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041016",
            "telephone_number": "817-529-9949",
            "fax_number": "817-529-9943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Wall St",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481051912",
            "country_code": "US",
            "telephone_number": "734-764-4190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 E Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095000",
            "country_code": "US",
            "telephone_number": "734-936-4385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 River Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926791",
            "country_code": "US",
            "telephone_number": "817-529-9949",
            "fax_number": "817-529-9943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4200 W University Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750789805",
            "country_code": "US",
            "telephone_number": "817-529-9949",
            "fax_number": "817-529-9943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2212 Emery St",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762011100",
            "country_code": "US",
            "telephone_number": "817-529-9949",
            "fax_number": "817-529-9943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Alexis Ct",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760633338",
            "country_code": "US",
            "telephone_number": "817-529-9949",
            "fax_number": "817-529-9943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKANCHY",
        "first_name": "DAVID",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301508741",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "TX",
            "license": "U9086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.