Ecsc II, PA

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

Legal business name

ECSC II, PA

Practice address

2800 S Hulen St
Suite 100
Fort Worth, TX 76109-1504

Phone

(214) 361-1443

Fax

(214) 368-8365

NPI assigned

Jun 21, 2011

Organization subpart

No

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

Authorized official

Name

Wesley K Herman, M.D.

Title

President, Owner

Phone

(214) 361-1443

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Ecsc II PA

  • Specialist
  • Dallas, TX
  • NPI 1184733362

  O20040423000547

  Same enrollment
• Ecscii, PA

  • Ophthalmic Technician/Technologist
  • Greenville, TX
  • NPI 1548556335

  O20040423000547

  Same enrollment

Locations

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1851687644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 LA SIERRA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314107",
            "telephone_number": "214-361-1433",
            "fax_number": "214-368-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S HULEN ST",
            "address_2": "SUITE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091504",
            "telephone_number": "214-361-1443",
            "fax_number": "214-368-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECSC II, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "214-361-1443",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebotagborndang Mbi
• Richard Glenn Eby
• Donald Robert Eckersley, DDS
• Olivia J Eckert
• Nancy Sue Eckhardt-Anderson, LPC
• Eddie Ellis HCS Inc
• Eddie Ellis Junior HCS
• Scott A Edegbe, FNP-C
• Eden Rejuvenation Center for Wellbeing PLLC
• Kimberly T Eden, MD

• Ophthalmic Technician/Technologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Ophthalmic Technician/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.