Organization Active NPI

Robert S Eisenberg, MD PA

Doing business as Irving Eye Institute

  • Ophthalmology Physician
  • Irving, TX
National Provider Identifier
1659420578
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G0998 Issued in TX
Legal business name
ROBERT S EISENBERG, MD PA
Doing business as
Irving Eye Institute
Practice address
3636 N Macarthur Blvd
Ste 135
Irving, TX 75062-3691
Phone
(972) 258-8000
Fax
(972) 258-8004
NPI assigned
Jan 9, 2007
Last updated
Oct 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Robert S Eisenberg, M.D.NPI 1689675746
Title
President
Phone
(972) 258-8000

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 Physician 207W00000X G0998 TX Primary

Addresses

Primary practice location

3636 N Macarthur Blvd
Ste 135
Irving, TX 75062-3691

Mailing address

3636 N Macarthur Blvd
Ste 135
Irving, TX 75062-3691
Phone (972) 258-8000

Other identifiers 1

IdentifierTypeStateIssuer
083616501MedicaidTX

Other names 1

  • IRVING EYE INSTITUTE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080714000706 TX Part B Supplier - Clinic/Group Practice 0547333296 Receives reassigned benefits from 1 practitioner
Practice locations: Irving, TX

National Provider Directory

National Provider Directory

Locations

5924 Royal Ln
Ste 161
Dallas, TX 75230
Phone (214) 891-9433

3636 N MacArthur Blvd
Ste 135
Irving, TX 75062
Phone (214) 441-2953

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1659420578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 N MACARTHUR BLVD",
            "address_2": "STE 135",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623691",
            "telephone_number": "972-258-8000",
            "fax_number": "972-258-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N MACARTHUR BLVD",
            "address_2": "STE 135",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623691",
            "telephone_number": "972-258-8000",
            "fax_number": "972-258-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S EISENBERG, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "EISENBERG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-258-8000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G0998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083616501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRVING EYE INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.