Premier Vision Group PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

8198TG Issued in TX

Legal business name

PREMIER VISION GROUP PLLC

Doing business as

Glade Family Eyecare

Practice address

1301 W Glade Rd
Suite 196
Euless, TX 76039-5418

Phone

(972) 571-5701

NPI assigned

Nov 18, 2013

Organization subpart

No

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

Authorized official

Name

Nellya Gendelman, O.D.NPI 1265871933

Title

Optometrist

Phone

(972) 571-5701

Specialties & licenses 1

Addresses

Other names 1

• Glade Family Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Nellya Gendelman, O.D.

  • Optometrist
  • Euless, TX
  • NPI 1265871933
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1659701258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4068 OLYMPIC CT",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932643",
            "telephone_number": "972-571-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W GLADE RD",
            "address_2": "SUITE 196",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760395418",
            "telephone_number": "972-571-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER VISION GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "GENDELMAN",
        "authorized_official_first_name": "NELLYA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "972-571-5701",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8198TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glade Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Polished Mind Psychiatry PLLC
• Francesca Nanette Poole, MS, LPC-ASSOCIATE
• Kris D Porter, MD
• Jason Eric Powell, MS, CCC-SLP
• Lorri L Pratt
• Aimee K Prentice, LPC-S, LCDC
• Daniel Alan Price, DPT
• Primecare PC LLC
• Professional Home Health Care Inc
• Andrew W Prychodko, MD MPH

• Optometrist in Euless, TX
• Providers in Euless, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.