Organization Active NPI

Shulkin Eye Associates

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1841625704
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
N6023 Issued in TX
Legal business name
SHULKIN EYE ASSOCIATES
Practice address
7777 Forest LN
C200
Dallas, TX 75230-2571
Phone
(972) 566-7999
Fax
(972) 566-8491
NPI assigned
Sep 11, 2013
Last updated
Jan 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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

Authorized official

Name
Mr. Zev Andrew Shulkin, MDNPI 1457562530
Title
Owner-Physician
Phone
(972) 566-7999

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
Ophthalmology Physician 207W00000X N6023 TX Primary

Addresses

Primary practice location

7777 Forest LN
C200
Dallas, TX 75230-2571

Mailing address

7777 Forest LN
C200
Dallas, TX 75230-2571
Phone (972) 566-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140124001273 TX Part B Supplier - Clinic/Group Practice 0345478103 Receives reassigned benefits from 2 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

7777 Forest Ln
Ste A208
Dallas, TX 75230
Phone (972) 566-7999

7777 Forest Ln
Ste C200
Dallas, TX 75230
Phone (972) 566-7999

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453075200000",
    "number": "1841625704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "C200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-7999",
            "fax_number": "972-566-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "C200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-7999",
            "fax_number": "972-566-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHULKIN EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2016-01-18",
        "status": "A",
        "authorized_official_last_name": "SHULKIN",
        "authorized_official_first_name": "ZEV",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER-PHYSICIAN",
        "authorized_official_telephone_number": "972-566-7999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "N6023",
            "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 Jan 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.