NPIMap

Organization Active NPI

Eyecare Associates of Texas, PA

  • Ophthalmology Physician
  • Cedar Hill, TX
National Provider Identifier
1659467306
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYECARE ASSOCIATES OF TEXAS, PA
Practice address
634 Uptown Blvd
Cedar Hill, TX 75104-3507
Phone
(972) 637-1300
Fax
(866) 353-7586
NPI assigned
Oct 4, 2006
Last updated
Sep 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Dr. Trang Diem Le, MDNPI 1417042193
Title
Owner
Phone
(972) 637-1300

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 NU Primary

Addresses

Primary practice location

634 Uptown Blvd
Cedar Hill, TX 75104-3507

Mailing address

634 Uptown Blvd
Cedar Hill, TX 75104-3507
Phone (972) 637-1300

Other identifiers 2

IdentifierTypeStateIssuer
0016DQOtherTXBCBS GROUP NUMBER
205454601MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081215000678 TX Part B Supplier - Clinic/Group Practice 6204998974 Receives reassigned benefits from 5 practitioners
Practice locations: Grand Prairie, TX; Cedar Hill, TX

National Provider Directory

National Provider Directory
Tax ID family
Eyecare Associates of Texas4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

634 Uptown Blvd
Cedar Hill, TX 75104
Phone (972) 296-2929

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1659467306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 UPTOWN BLVD",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043507",
            "telephone_number": "972-637-1300",
            "fax_number": "866-353-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 UPTOWN BLVD",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043507",
            "telephone_number": "972-637-1300",
            "fax_number": "866-353-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE ASSOCIATES OF TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "TRANG",
        "authorized_official_middle_name": "DIEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-637-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0016DQ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205454601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.