Organization Active NPI

Metroplex Eye Care PLLC

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1750697843
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7560T Issued in TX
Legal business name
METROPLEX EYE CARE PLLC
Practice address
301 Carroll St
Fort Worth, TX 76107-1956
Phone
(817) 877-3937
Fax
(817) 877-3939
NPI assigned
Aug 26, 2010
Last updated
Apr 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Gloria Hentz, O.D.NPI 1174835276
Title
Owner/Optometrist
Phone
(817) 939-7178

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
Optometrist 152W00000X 7560T TX Primary

Addresses

Primary practice location

301 Carroll St
Fort Worth, TX 76107-1956

Mailing address

301 Carroll St
Fort Worth, TX 76107-1956
Phone (817) 877-3937

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101217000400 TX Part B Supplier - Clinic/Group Practice 0648468686 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

301 Carroll St
#1
Fort Worth, TX 76107

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1750697843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CARROLL ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761071956",
            "telephone_number": "817-877-3937",
            "fax_number": "817-877-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CARROLL ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761071956",
            "telephone_number": "817-877-3937",
            "fax_number": "817-877-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPLEX EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "HENTZ",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "817-939-7178",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7560T",
            "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 23, 2021; 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.