Organization Active NPI

Catherine M Vicci OD PA

  • Optometrist
  • Dallas, TX
National Provider Identifier
1689010902
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CATHERINE M VICCI OD PA
Practice address
1050 N Westmoreland Rd Ste 457
Dallas, TX 75211-2416
Phone
(214) 742-2020
Fax
(214) 748-2020
NPI assigned
May 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Catherine M. Vicci, ODNPI 1750641437
Title
Owner/OD
Phone
(214) 742-2020

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TX Primary

Addresses

Primary practice location

1050 N Westmoreland Rd Ste 457
Dallas, TX 75211-2416

Mailing address

1050 N Westmoreland Rd Ste 457
Dallas, TX 75211-2416
Phone (214) 742-2020

Other names 1

  • Good Vision Optical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131212001397 TX Part B Supplier - Clinic/Group Practice 1557598893 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

1050 N Westmoreland Rd
Ste 457
Dallas, TX 75211
Phone (214) 742-2020

1881 Sylvan Ave
Ste 125
Dallas, TX 75208
Phone (214) 742-2020

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1689010902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 N WESTMORELAND RD STE 457",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752112416",
            "telephone_number": "214-742-2020",
            "fax_number": "214-748-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N WESTMORELAND RD STE 457",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752112416",
            "telephone_number": "214-742-2020",
            "fax_number": "214-748-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE M VICCI OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "VICCI",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/OD",
        "authorized_official_telephone_number": "214-742-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Vision Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Vision Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 31, 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.