Eyemax Family Vision PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYEMAX FAMILY VISION PLLC

Practice address

4880 Eldorado Pkwy Ste 200
Frisco, TX 75033-1229

Phone

(972) 372-0333

Fax

(972) 638-8588

NPI assigned

Feb 3, 2023

Organization subpart

No

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

Authorized official

Name

Malik Mamdani

Title

Manager

Phone

(972) 850-8001

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eyemax Family Vision PLLC

  • Optometrist
  • Mesquite, TX
  • NPI 1053830695

  O20171219000869

  Same enrollment

Tax ID family

Eyemax Family Vision2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eyemax Family Vision PLLC

  • Optometrist
  • Mesquite, TX
  • NPI 1053830695
  NPD tax ID

Practitioners 1

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.

• Robert Xiang Li, OD

  • Optometrist
  • Frisco, TX
  • NPI 1659933125
  NPD

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1841996592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10414 CRESTOVER DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295215",
            "telephone_number": "972-850-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 ELDORADO PKWY STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331229",
            "telephone_number": "972-372-0333",
            "fax_number": "972-638-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMAX FAMILY VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "MAMDANI",
        "authorized_official_first_name": "MALIK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-850-8001"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3917569",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Extraordinary Health & Wellness Center
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• Eye Source PLLC
• Eyemasters of Texas LTD (Eyemasters)
• Eyeq Vision PLLC
• Eyes in Sight, PLLC
• Ez Mind Psychiatry PLLC
• Angela Ezell, PA-C
• Emmanuel Ezeokeke

• Optometrist in Frisco, TX
• Providers in Frisco, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.