Dallas Eye Care Associates PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DALLAS EYE CARE ASSOCIATES PLLC

Doing business as

Dallas Eye Care Associates

Practice address

505 N Gun Barrel LN
Gun Barrel City, TX 75156-3732

Phone

(817) 784-0222

Fax

(817) 417-0981

NPI assigned

Mar 16, 2007

Last updated

Apr 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christian Ellison

Title

Ceo

Phone

(720) 524-1001

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Dallas Eye Care Associates Doing business as

Locations

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1699899781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 E MEXICO AVE STE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103941",
            "telephone_number": "303-800-2078",
            "fax_number": "303-800-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N GUN BARREL LN",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751563732",
            "telephone_number": "817-784-0222",
            "fax_number": "817-417-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS EYE CARE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-524-1001"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173901301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF8271",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Eye Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Gun Barrel City, TX
• Providers in Gun Barrel City, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.