Individual provider Active NPI

Robert S. Eisenberg, M.D.

  • Ophthalmology Physician
  • Irving, TX
National Provider Identifier
1689675746
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G0998 Issued in TX
Practice address
3636 N Macarthur Blvd
Suite 135
Irving, TX 75062-3691
Phone
(972) 258-8000
Fax
(972) 258-8004
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G0998 TX Primary

Addresses

Primary practice location

3636 N Macarthur Blvd
Suite 135
Irving, TX 75062-3691

Mailing address

3636 N Macarthur Blvd
Suite 135
Irving, TX 75062-3691
Phone (972) 258-8000

Other identifiers 1

IdentifierTypeStateIssuer
110657702MedicaidTX

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120626000706 TX Practitioner - Ophthalmology 7719050467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Chicago College of Medicine and Surgery, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3636 N Macarthur Blvd
Suite 135
Irving, TX 75062-3691
Phone (972) 258-8000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G0998TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert S Eisenberg, MD PA Ophthalmology CurrentSince Dec 1, 1981 Accepting new patients

Locations

5924 Royal Ln
Ste 161
Dallas, TX 75230
Phone (214) 891-9433

3636 N MacArthur Blvd
Ste 135
Irving, TX 75062
Phone (214) 441-2953

Interoperability endpoints

  • Direct secure messaging: reisenberg@reisenberg.eyefinitydirect.com
  • Direct secure messaging: dmcreisen@yourcarecommunity.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1689675746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 N MACARTHUR BLVD",
            "address_2": "SUITE 135",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623691",
            "telephone_number": "972-258-8000",
            "fax_number": "972-258-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N MACARTHUR BLVD",
            "address_2": "SUITE 135",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623691",
            "telephone_number": "972-258-8000",
            "fax_number": "972-258-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "ROBERT",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G0998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110657702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.