Organization Active NPI

Johnson Dubose Family Company LLC

Doing business as Bespoke Eye Care

  • Optometrist
  • Dallas, TX
National Provider Identifier
1871077479
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JOHNSON DUBOSE FAMILY COMPANY LLC
Doing business as
Bespoke Eye Care
Practice address
6757 Arapaho Rd Ste 707
Dallas, TX 75248-4073
Phone
(972) 703-9070
NPI assigned
Sep 19, 2018
Last updated
Feb 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Jonathan JohnsonNPI 1467086868
Title
General Manager
Phone
(972) 703-9070

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Corneal and Contact Management Optometrist 152WC0802X NU
Pediatric Optometrist 152WP0200X NU
Eyewear Supplier 332H00000X NU

Addresses

Primary practice location

6757 Arapaho Rd Ste 707
Dallas, TX 75248-4073

Mailing address

6757 Arapaho Rd Ste 707
Dallas, TX 75248-4073
Phone (972) 703-9070

Other names 1

  • Bespoke Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

2100 Ross Ave
Dallas, TX 75201
Phone (855) 204-3923

6757 Arapaho Rd
Ste 707
Dallas, TX 75248
Phone (972) 703-9070

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1871077479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6757 ARAPAHO RD STE 707",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484073",
            "telephone_number": "972-703-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6757 ARAPAHO RD STE 707",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484073",
            "telephone_number": "972-703-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON DUBOSE FAMILY COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "972-703-9070"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bespoke Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.