Individual provider Active NPI

Edward P Hurst, MD

  • Ophthalmology Physician
  • Rockwall, TX
National Provider Identifier
1720014756
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
F9603 Issued in TX
Practice address
2380 S Goliad St Ste 100
Rockwall, TX 75032-6504
Phone
(972) 771-2020
Fax
(972) 722-4858
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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 F9603 TX Primary

Addresses

Primary practice location

2380 S Goliad St Ste 100
Rockwall, TX 75032-6504

Mailing address

2380 S Goliad St Ste 100
Rockwall, TX 75032-6504
Phone (972) 771-2020

Other identifiers 1

IdentifierTypeStateIssuer
115049201MedicaidTX

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
I20060811000228 TX Practitioner - Ophthalmology 8325090095 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
JW Eye Associates, PLLC Ophthalmology CurrentSince Dec 1, 2018 Accepting new patients
JW Eye Associates, PLLC Ophthalmology CurrentSince Dec 1, 2018 Accepting new patients
Andy M Lee MD PA Ophthalmology CurrentSince Oct 30, 2023 Accepting new patients
Physicians and Allied Health Professionals Group, PA Ophthalmology Past Accepting new patients
Hurst Ambulatory Surgical Center PastSince Jan 15, 1999 Accepting new patients
Good Rams Partners LP PastSince Oct 30, 2023 Accepting new patients

Locations

11442 N Central Expy
Dallas, TX 75243
Phone (214) 220-3937

388 E Highway 67
Duncanville, TX 75137
Phone (972) 296-2020

3060 Communications Pkwy
Ste 205
Plano, TX 75093
Phone (972) 769-2020

2380 S Goliad St
Ste 100
Rockwall, TX 75032
Phone (972) 771-2020

Interoperability endpoints

  • Direct secure messaging: edward.hurst.p1@direct.totaleyecaretexas.nextgenshare.com

Organizations & group practices 6

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1720014756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 S GOLIAD ST STE 100",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326504",
            "telephone_number": "972-771-2020",
            "fax_number": "972-722-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 S GOLIAD ST STE 100",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326504",
            "telephone_number": "972-771-2020",
            "fax_number": "972-722-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "EDWARD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "F9603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115049201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.