Organization Active NPI

David E Weber OD PC

  • Optometrist
  • Dallas, TX
National Provider Identifier
1740396209
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3403T Issued in TX
Legal business name
DAVID E WEBER OD PC
Practice address
11661 Preston Rd
Ste 145
Dallas, TX 75230
Phone
(214) 368-8825
Fax
(214) 368-8823
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Authorized official

Name
David E Weber, ODNPI 1750568192
Title
President
Phone
(214) 368-8825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 3403T TX Primary

Addresses

Primary practice location

11661 Preston Rd
Ste 145
Dallas, TX 75230

Mailing address

11661 Preston Rd
Ste 145
Dallas, TX 75230
Phone (214) 368-8825

Other identifiers 1

IdentifierTypeStateIssuer
1123887MedicaidTX

Other names 1

  • The Eye Zone Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101203000462 TX Part B Supplier - Clinic/Group Practice 3072700038 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

11661 Preston Rd
Ste 145
Dallas, TX 75230
Phone (214) 368-8825

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1740396209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11661 PRESTON RD",
            "address_2": "STE 145",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75230",
            "telephone_number": "214-368-8825",
            "fax_number": "214-368-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11661 PRESTON RD",
            "address_2": "STE 145",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75230",
            "telephone_number": "214-368-8825",
            "fax_number": "214-368-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E WEBER OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-368-8825",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3403T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1123887",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Zone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.