Organization Active NPI

Ophthalmology Specialists of Texas, PLLC

  • Ophthalmology Physician
  • Abilene, TX
National Provider Identifier
1902836166
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
K4185 Issued in TX
Legal business name
OPHTHALMOLOGY SPECIALISTS OF TEXAS, PLLC
Practice address
5441 Health Center Dr
Abilene, TX 79606-1224
Phone
(325) 673-9806
Fax
(325) 673-9809
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
Dr. Sunil S Patel, M.D., PH.D.NPI 1760476964
Title
Owner/Physician
Phone
(325) 690-4429

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X K4185 TX Primary

Addresses

Primary practice location

5441 Health Center Dr
Abilene, TX 79606-1224

Mailing address

5441 Health Center Drive
Abilene, TX 79606-1224
Phone (325) 690-4429

Other identifiers 1

IdentifierTypeStateIssuer
149926102MedicaidTX

Other names 1

  • Ophthalmology Specialists of Texas P.A. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040616001595 TX Part B Supplier - Clinic/Group Practice 4587648407 Receives reassigned benefits from 6 practitioners
Practice locations: Abilene, TX; Granbury, TX; Midland, TX; San Angelo, TX; Wichita Falls, TX; Willow Park, TX

National Provider Directory

National Provider Directory

Locations

5441 Health Center Dr
#3062
Abilene, TX 79606

109 S Park Dr
Ste H
Brownwood, TX 76801
Phone (800) 810-7411

103 Westmeadow Dr
Cleburne, TX 76033

1665 Woodard Ave
Cleburne, TX 76033
Phone (817) 441-2851

103 Westmeadow Dr
Ste B
Cleburne, TX 76033
Phone (817) 441-1212

4900 Briarwood Ave
Midland, TX 79707

1100 SE 1st St
Mineral Wells, TX 76067
Phone (254) 918-2277

4059 W Loop 306
San Angelo, TX 76904

101 Chuckwagon Trl
Willow Park, TX 76087
Phone (817) 594-0914

Interoperability endpoints

  • Direct secure messaging: ezavaleta@wtxretina.intellechartdirect.net
  • Direct secure messaging: rlynds@wtxretina.intellechartdirect.net
  • Direct secure messaging: cclark@wtxretina.intellechartdirect.net
  • Direct secure messaging: bcarr@wtxretina.intellechartdirect.net
  • Direct secure messaging: spatel@wtxretina.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1902836166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 HEALTH CENTER DRIVE",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796061224",
            "telephone_number": "325-690-4429",
            "fax_number": "325-690-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 HEALTH CENTER DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796061224",
            "telephone_number": "325-673-9806",
            "fax_number": "325-673-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY SPECIALISTS OF TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "325-690-4429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K4185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149926102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ophthalmology Specialists of Texas P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Ophthalmology Specialists of Texas P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.