Individual provider Active NPI

Courtney Hazelwood Cates, OD

  • Optometrist
  • Dallas, TX
National Provider Identifier
1851804587
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9312T Issued in TX
Practice address
17000 Preston Rd Ste 150
Dallas, TX 75248-1233
Phone
(972) 250-2020
Fax
(972) 239-0840
NPI assigned
Nov 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9312T TX Primary

Addresses

Primary practice location

17000 Preston Rd Ste 150
Dallas, TX 75248-1233

Mailing address

1132 N Cottonwood Dr
Richardson, TX 75080-3762
Phone (806) 341-2326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181025001709 TX Practitioner - Optometry 0648523399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshall Eye CareGroup PAC ID 6709005358, 3 clinicians

Practice addresses (Care Compare)

17000 Preston Rd
Suite 150
Dallas, TX 75248-1233
Phone (972) 239-1530

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9312TXMDOrthodontics and Dentofacial Orthopedic Dentist
9312TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Eye Care Optometrist CurrentSince Mar 2, 2025 Accepting new patients
Dallas Vision Therapy Center PLLC CurrentSince Sep 5, 2023 Accepting new patients
Charles Shidlofsky O.D., P.a. Optometrist PastSince Nov 10, 2003 Accepting new patients

Locations

17000 Preston Rd
Ste 150
Dallas, TX 75248
Phone (972) 239-1530

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1851804587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 N COTTONWOOD DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803762",
            "telephone_number": "806-341-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 PRESTON RD STE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481233",
            "telephone_number": "972-250-2020",
            "fax_number": "972-239-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATES",
        "first_name": "COURTNEY",
        "middle_name": "HAZELWOOD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9312T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.