Individual provider Active NPI

Simon Gabriel Safir

  • Technician/Technologist
  • Lewisville, TX
National Provider Identifier
1821413162
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
Practice address
2403 S Stemmons Fwy
Suite 113
Lewisville, TX 75067-8976
Phone
(972) 316-1113
NPI assigned
Feb 24, 2014
Last updated
Feb 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X NU Primary
Technician/Technologist 156F00000X DR3722 TX

Addresses

Primary practice location

2403 S Stemmons Fwy
Suite 113
Lewisville, TX 75067-8976

Mailing address

2403 S Stemmons Fwy
Suite 113
Lewisville, TX 75067-8976
Phone (972) 316-1113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DR3722TXMDTechnician/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor Eyecare Forest Lane LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1821413162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 S STEMMONS FWY",
            "address_2": "SUITE 113",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678976",
            "telephone_number": "972-316-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 S STEMMONS FWY",
            "address_2": "SUITE 113",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678976",
            "telephone_number": "972-316-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFIR",
        "first_name": "SIMON",
        "middle_name": "GABRIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "TX",
            "license": "DR3722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.