Organization Active NPI

Allied Eye Associates PC

  • Optometrist
  • Dallas, TX
National Provider Identifier
1679625941
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ALLIED EYE ASSOCIATES PC
Practice address
13131 Preston Rd
Dallas, TX 75240-5203
Phone
(972) 404-1114
Fax
(972) 404-1115
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Glyn Pearson, OD
Title
Owner
Phone
(972) 335-1395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

13131 Preston Rd
Dallas, TX 75240-5203

Mailing address

4405 Giovanni Dr
Plano, TX 75024-3879
Phone (972) 335-1395

Other identifiers 2

IdentifierTypeStateIssuer
160852301MedicaidTX
0066JYOtherTXBCBS GROUP ID

National Provider Directory

National Provider Directory
Tax ID family
Allied Eye Associates PC4 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

13131 Preston Rd
Dallas, TX 75240
Phone (972) 404-1114

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1679625941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 GIOVANNI DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243879",
            "telephone_number": "972-335-1395",
            "fax_number": "972-335-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13131 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405203",
            "telephone_number": "972-404-1114",
            "fax_number": "972-404-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED EYE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "GLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-335-1395",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160852301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID",
            "identifier": "0066JY",
            "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 May 12, 2008; 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.