Texas Vision & Laser Center, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

TEXAS VISION & LASER CENTER, PLLC

Practice address

2600 W University Dr Ste 100
McKinney, TX 75071-3209

Phone

(972) 548-2015

Fax

(972) 548-2014

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jason Douglas Bullajian, M.D.NPI 1063415552

Title

Owner

Phone

(972) 548-2015

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: dkirk@tvlc.intellechartdirect.net
• Direct secure messaging: vbarnett@tvlc.intellechartdirect.net
• Direct secure messaging: skim@tvlc.intellechartdirect.net
• Direct secure messaging: jwildridge@tvlc.intellechartdirect.net
• Direct secure messaging: jbullajian@tvlc.intellechartdirect.net

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Douglas Bullajian, MD

  • Ophthalmology Physician
  • McKinney, TX
  • NPI 1063415552
  Medicare reassignment Care Compare group NPD Authorized official
• Valerie A Barnett, O.D.

  • Optometrist
  • McKinney, TX
  • NPI 1710905740
  Medicare reassignment Care Compare group NPD
• Si-on Kim, OD

  • Optometrist
  • Frisco, TX
  • NPI 1477161875
  Medicare reassignment Care Compare group NPD
• Declan Kirk

  • Ophthalmology Physician
  • Lubbock, TX
  • NPI 1487277224
  Medicare reassignment Care Compare group NPD
• Jeffrey A. Wildridge, O.D.

  • Ophthalmology Physician
  • Duncanville, TX
  • NPI 1770753568
  Medicare reassignment Care Compare group NPD
• Sion Kim, MD

  • Family Medicine Physician
  • North Las Vegas, NV
  • NPI 1871013631
  NPD

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1659575926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W UNIVERSITY DR STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713209",
            "telephone_number": "972-548-2015",
            "fax_number": "972-548-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W UNIVERSITY DR STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713209",
            "telephone_number": "972-548-2015",
            "fax_number": "972-548-2014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8380 Warren Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750344199",
            "country_code": "US",
            "telephone_number": "972-548-2015",
            "fax_number": "972-548-2014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS VISION & LASER CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "BULLAJIAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-548-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0053QC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187626001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.