NPIMap

Organization Active NPI

Dallas Vision Center Inc

  • Eyewear Supplier
  • Dallas, TX
National Provider Identifier
1669653051
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
TG2057 Issued in TX
Legal business name
DALLAS VISION CENTER INC
Practice address
11888 Marsh LN
Suite 414
Dallas, TX 75234-8083
Phone
(972) 241-8084
Fax
(972) 241-8086
NPI assigned
Nov 14, 2007
Last updated
Aug 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Dr. Robert J Vodvarka, O.D.NPI 1316922982
Title
President
Phone
(972) 241-8084

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X TG2057 TX Primary

Addresses

Primary practice location

11888 Marsh LN
Suite 414
Dallas, TX 75234-8083

Mailing address

414 Park Forest Ctr
Dallas, TX 75234-8065
Phone (972) 241-8084

Other identifiers 3

IdentifierTypeStateIssuer
410033055OtherTXRAILROAD PIN
1316922982OtherTXINDIVIDUAL NPI
8A8260OtherTXMEDICARE INDIVIDUAL NUMBER

National Provider Directory

National Provider Directory

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": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1669653051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PARK FOREST CTR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752348065",
            "telephone_number": "972-241-8084",
            "fax_number": "972-241-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11888 MARSH LN",
            "address_2": "SUITE 414",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752348083",
            "telephone_number": "972-241-8084",
            "fax_number": "972-241-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "VODVARKA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-241-8084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "TG2057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PIN",
            "identifier": "410033055",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1316922982",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL NUMBER",
            "identifier": "8A8260",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.