Dallas Eye and Ear Optical, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

DALLAS EYE AND EAR OPTICAL, PLLC

Practice address

1703 N Beckley Ave
Dallas, TX 75203-1007

Phone

(214) 987-2875

NPI assigned

Mar 10, 2020

Organization subpart

Yes

Parent organization

LINDA L BURK MDAs reported in NPPES

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

Authorized official

Name

Angela Phillips

Title

Practice Manager

Phone

(214) 987-2875

Specialties & licenses 3

Addresses

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.

• Dallas Eye and Ear PLLC

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1629595327

  O20200513002053

  Same enrollment

Tax ID family

Dallas Eye and Ear2 organizations share this tax ID, including this one

Part of

Linda L Burk MD

Other organizations with this tax ID 1

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

• Dallas Eye and Ear PLLC

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1629595327
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Linda L Burk MD

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1366670242
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leah Marie Bohnert, OD

  • Optometrist
  • Fort Worth, TX
  • NPI 1467932558
  Medicare reassignment NPD
• Linda L Burk, MD

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1194757328
  Medicare reassignment NPD
• Haley Elizabeth Puryear, O.D.

  • Optometrist
  • Dallas, TX
  • NPI 1518367119
  NPD (past)

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1891320826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 N BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031007",
            "telephone_number": "214-987-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 N BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031007",
            "telephone_number": "214-987-2875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10740 N Central Expy Ste 180",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752312162",
            "country_code": "US",
            "telephone_number": "214-346-0679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DALLAS EYE AND EAR OPTICAL, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LINDA L BURK MD",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "214-987-2875"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas ENT & Allergy Center P a
• Dallas ENT and Allergy Center (Dallas ENT Head and Neck Surgery Center)
• Dallas Equipment Supply Inc
• Dallas ER LLC
• Dallas Esthetics, PLLC
• Dallas Eye and Ear PLLC
• Dallas Eye Care Associates PLLC (Dallas Eye Care Assocaites)
• Dallas Eyeworks Inc
• Dallas Family Psychiatry PLLC
• Dallas Federal Physical Therapy and Rehabilitation LLC

• Ophthalmology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.