NPIMap

Organization Active NPI

Glaucoma Associates of Texas PA

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1679678239
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GLAUCOMA ASSOCIATES OF TEXAS PA
Practice address
7150 Greenville Ave
Suite 300
Dallas, TX 75231-7900
Phone
(214) 360-0000
Fax
(214) 360-0083
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Ronald L Fellman, MDNPI 1780626226
Title
President
Phone
(214) 360-0000

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

7150 Greenville Ave
Suite 300
Dallas, TX 75231-7900

Mailing address

PO Box 730475
Dallas, TX 75373-0475
Phone (972) 791-1224

Other identifiers 1

IdentifierTypeStateIssuer
00TS72OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070214000061 TX Part B Supplier - Clinic/Group Practice 8325040769 Receives reassigned benefits from 12 practitioners
Practice locations: Rockwall, TX; Southlake, TX; Sherman, TX; Fort Worth, TX; Dallas, TX; Plano, TX

National Provider Directory

National Provider Directory
Tax ID family
Glaucoma Associates of Texas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

10740 N Central Expy
Ste 300
Dallas, TX 75231
Phone (214) 360-0000

6000 W Spring Creek Pkwy
Ste 110
Plano, TX 75024
Phone (972) 612-9522

810 Rockwall Pkwy
#1010
Rockwall, TX 75032
Phone (214) 692-0146

715 E Taylor St
Ste 100
Sherman, TX 75090
Phone (214) 360-0000

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1679678239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730475",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753730475",
            "telephone_number": "972-791-1224",
            "fax_number": "972-819-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 GREENVILLE AVE",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317900",
            "telephone_number": "214-360-0000",
            "fax_number": "214-360-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA ASSOCIATES OF TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "FELLMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-360-0000",
        "authorized_official_credential": "MD"
    },
    "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": "00TS72",
            "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 Dec 12, 2007; 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.