Organization Active NPI

Laura a Pels

  • Optometrist
  • Coppell, TX
National Provider Identifier
1821379991
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3083T Issued in TX
Legal business name
LAURA A PELS
Practice address
541 E Sandy Lake Rd
Coppell, TX 75019-3090
Phone
(972) 393-3937
Fax
(972) 304-4422
NPI assigned
Sep 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Dr. Laura Pels, O.D.NPI 1366533853
Title
Owner
Phone
(972) 393-3937

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3083T TX Primary

Addresses

Primary practice location

541 E Sandy Lake Rd
Coppell, TX 75019-3090

Mailing address

541 E Sandy Lake Rd
Coppell, TX 75019-3090
Phone (972) 393-3937

Other identifiers 4

IdentifierTypeStateIssuer
81443OtherBLUECROSS BLUESHIELD OF TEXAS
1639263668OtherINDIVIDUAL NPI
1366533853OtherTXINDIVIDUAL NPI
81442OtherBLUECROSS BLUE SHIELD OF TEXAS

Other names 1

  • COPPELL VISION CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1821379991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 E SANDY LAKE RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193090",
            "telephone_number": "972-393-3937",
            "fax_number": "972-304-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 E SANDY LAKE RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193090",
            "telephone_number": "972-393-3937",
            "fax_number": "972-304-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA A PELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "PELS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-393-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3083T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF TEXAS",
            "identifier": "81443",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1639263668",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1366533853",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD OF TEXAS",
            "identifier": "81442",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COPPELL VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.