Active NPI
Vision Palace, P.C.
- Optometrist
- Arlington, TX
National Provider Identifier
1770830507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 07098TG
- Legal business name
- VISION PALACE, P.C.
- Practice address
- 3751 Matlock Rd Ste 115
Arlington, TX 76015-4342 - Phone
- (817) 375-9000
- Fax
- (817) 375-9005
- NPI assigned
- Aug 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laquiesha Denise Woods
- Title
- Office Manager
- Phone
- (972) 274-6600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 07098TG | TX | Primary |
Addresses
Primary practice location
3751 Matlock Rd Ste 115
Arlington, TX 76015-4342
Mailing address
3751 Matlock Rd Ste 115
Arlington, TX 76015-4342
Phone (817) 375-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07098TG | Other | TX | LICENSE NUMBER |
National Provider Directory
National Provider DirectoryLocations
3751 Matlock Rd
Ste 115
Arlington, TX 76015
Phone (817) 375-9000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344556800000",
"number": "1770830507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3751 MATLOCK RD STE 115",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760154342",
"telephone_number": "817-375-9000",
"fax_number": "817-375-9005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3751 MATLOCK RD STE 115",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760154342",
"telephone_number": "817-375-9000",
"fax_number": "817-375-9005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISION PALACE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-10",
"last_updated": "2012-08-10",
"status": "A",
"authorized_official_last_name": "WOODS",
"authorized_official_first_name": "LAQUIESHA",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "972-274-6600"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "07098TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "07098TG",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.