NPIMap

Organization Active NPI

Texas Eye Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Hurst, TX
National Provider Identifier
1750468583
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
008515 Issued in TX
Legal business name
TEXAS EYE SURGERY CENTER, LLC
Practice address
1872 Norwood Dr
100
Hurst, TX 76054-3066
Phone
(817) 554-0200
Fax
(817) 553-7994
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Brian D Ranelle, D.O.NPI 1477648301
Title
Medical Director
Phone
(817) 540-6060

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
Ambulatory Surgical Clinic/Center 261QA1903X 008515 TX Primary

Addresses

Primary practice location

1872 Norwood Dr
100
Hurst, TX 76054-3066

Mailing address

1872 Norwood Dr
100
Hurst, TX 76054-3066
Phone (817) 540-6060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070921000282 TX Part B Supplier - Ambulatory Surgical Center 7911091913 Practice locations: Hurst, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Texas Eye Surgery Center LLCCCN 45C0001459
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1062237Texas Eye Surgery Center, LLC1872 Norwood Drive Suite 100, Hurst, TX 76054Certificate of waiverDec 10, 2026

National Provider Directory

National Provider Directory

Locations

1350 S Main St
Ste 1200
Fort Worth, TX 76104
Phone (817) 338-1465

1852 Norwood Dr Ste 101
Hurst, TX 76054

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1750468583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 NORWOOD DR",
            "address_2": "100",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543066",
            "telephone_number": "817-540-6060",
            "fax_number": "817-553-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1872 NORWOOD DR",
            "address_2": "100",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543066",
            "telephone_number": "817-554-0200",
            "fax_number": "817-553-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS EYE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "RANELLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "817-540-6060",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.