Organization Active NPI

Vision Palace, P.C.

  • Optometrist
  • Arlington, TX
National Provider Identifier
1770830507
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
07098TG Issued in TX
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

Updated by the provider on Aug 10, 2012

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
07098TGOtherTXLICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.