NPIMap

Organization Active NPI

20-20 Sight, PA

  • Optometrist
  • Grand Prairie, TX
National Provider Identifier
1760416408
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
20-20 SIGHT, PA
Practice address
4116 S Carrier Pkwy
Ste 120
Grand Prairie, TX 75052-3200
Phone
(972) 264-7200
Fax
(972) 264-7220
NPI assigned
Jul 10, 2006
Last updated
Jan 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Dr. Larry Tarrant, O.D.
Title
Owner
Phone
(972) 264-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4116 S Carrier Pkwy
Ste 120
Grand Prairie, TX 75052-3200

Mailing address

4116 S Carrier Pkwy
Ste 120
Grand Prairie, TX 75052-3200
Phone (972) 264-7200

Other identifiers 1

IdentifierTypeStateIssuer
019115701MedicaidTX

National Provider Directory

National Provider Directory

Locations

4116 S Carrier Pkwy
Ste 120
Grand Prairie, TX 75052
Phone (972) 264-7200

Practitioners & affiliated clinicians

Practitioners 4

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1760416408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 S CARRIER PKWY",
            "address_2": "STE 120",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523200",
            "telephone_number": "972-264-7200",
            "fax_number": "972-264-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 S CARRIER PKWY",
            "address_2": "STE 120",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523200",
            "telephone_number": "972-264-7200",
            "fax_number": "972-264-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20-20 SIGHT, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "TARRANT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-264-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019115701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.