Individual provider Active NPI

Dary Prupes

  • Optician
  • Fort Worth, TX
National Provider Identifier
1710307897
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Practice address
5860 N Tarrant Pkwy
Ste. 108
Fort Worth, TX 76244-7201
Phone
(817) 656-0440
Fax
(817) 428-4262
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

5860 N Tarrant Pkwy
Ste. 108
Fort Worth, TX 76244-7201

Mailing address

5860 N Tarrant Pkwy
Ste. 108
Fort Worth, TX 76244-7201
Phone (817) 656-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1710307897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 N TARRANT PKWY",
            "address_2": "STE. 108",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762447201",
            "telephone_number": "817-656-0440",
            "fax_number": "817-428-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 N TARRANT PKWY",
            "address_2": "STE. 108",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762447201",
            "telephone_number": "817-656-0440",
            "fax_number": "817-428-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUPES",
        "first_name": "DARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.