David Alonso, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8217T Issued in TX

Practice address

3050 W Camp Wisdom Rd
Suite 140
Grand Prairie, TX 75052-4642

Phone

(972) 532-6999

Fax

(972) 532-6713

NPI assigned

Jun 21, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ryan C. Schamerloh, O.D.

  • Optometrist
  • Dallas, TX
  • NPI 1205851300
  Medicare reassignment
• Mai Nguyen OD PLLC

  • Optometrist
  • Lewisville, TX
  • NPI 1902244924
  NPD
• Pinnacle Eye Care PLLC

  • Optometrist
  • Dallas, TX
  • NPI 1669836417
  NPD
• Ryan C. Schamerloh, OD

  • Optometrist
  • Dallas, TX
  • NPI 1356500730
  NPD

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1689013633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 W CAMP WISDOM RD",
            "address_2": "SUITE 140",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750524642",
            "telephone_number": "972-532-6999",
            "fax_number": "972-532-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 W CAMP WISDOM RD",
            "address_2": "SUITE 140",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750524642",
            "telephone_number": "972-532-6999",
            "fax_number": "972-532-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8217T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "324349ZSJ4",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taren Allen, LCSW
• Allheart Dental Grand Prairie,PLLC
• Alliance Transportation
• Amy Allred, CPM
• Allumed, Inc.
• Alpha and Omega Star LLC
• Alpha Express Primary Care LLC
• Alpha Express Urgent Care
• Tonja Michelle Alsbrooks, M.S., CCC-SLP
• Cielo Evidelsy Alvarado, RBT

• Optometrist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.