Organization Active NPI

Distinctive Vision Care, PLLC

  • Optometrist
  • Irving, TX
National Provider Identifier
1851758916
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7771 Issued in TX
Legal business name
DISTINCTIVE VISION CARE, PLLC
Practice address
411 E. Royal Lane
Suite 170
Irving, TX 75039-4202
Phone
(972) 401-2020
NPI assigned
Jan 20, 2016
Last updated
Oct 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Dr. David Dinh, O.D.NPI 1114282373
Title
Optometrist/Owner
Phone
(972) 401-2020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7990 TX
Optometrist 152W00000X 7771 TX Primary

Addresses

Primary practice location

411 E. Royal Lane
Suite 170
Irving, TX 75039-4202

Mailing address

411 E. Royal Lane
Suite 170
Irving, TX 75039-4202
Phone (972) 401-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160523000733 TX Part B Supplier - Clinic/Group Practice 9234428756 Receives reassigned benefits from 2 practitioners
Practice locations: Irving, TX

National Provider Directory

National Provider Directory

Locations

411 E Royal Ln
Ste 170
Irving, TX 75039
Phone (843) 450-0746

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": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1851758916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E. ROYAL LANE",
            "address_2": "SUITE 170",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394202",
            "telephone_number": "972-401-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E. ROYAL LANE",
            "address_2": "SUITE 170",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394202",
            "telephone_number": "972-401-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTINCTIVE VISION CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "972-401-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7990",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

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