Organization Active NPI

Bright Eyes Assisted Living

  • Physical Disabilities Residential Treatment Facility
  • Dallas, TX
National Provider Identifier
1760728885
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
135796 Issued in TX
Legal business name
BRIGHT EYES ASSISTED LIVING
Practice address
6327 Teague Dr
Dallas, TX 75241-4844
Phone
(214) 372-3690
NPI assigned
Dec 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Ms. Deandra Denise Wilson
Title
Owner
Phone
(214) 710-0156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 135796 TX Primary

Addresses

Primary practice location

6327 Teague Dr
Dallas, TX 75241-4844

Mailing address

920 Gross Rd Apt 1024
Mesquite, TX 75149-8107
Phone (214) 710-0156

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1760728885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 GROSS RD APT 1024",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751498107",
            "telephone_number": "214-710-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6327 TEAGUE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752414844",
            "telephone_number": "214-372-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT EYES ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DEANDRA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-710-0156",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "TX",
            "license": "135796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 18, 2012; 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.