Organization Active NPI

Angelina Jagpal, O.D., P.a.

  • Optometrist
  • North Richland Hills, TX
National Provider Identifier
1912124884
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6824T Issued in TX
Legal business name
ANGELINA JAGPAL, O.D., P.A.
Practice address
9101 N Tarrant Pkwy
North Richland Hills, TX 76180-1655
Phone
(817) 514-0100
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Angelina Jagpal, O.D.
Title
Owner
Phone
(972) 462-9304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6824T TX Primary

Addresses

Primary practice location

9101 N Tarrant Pkwy
North Richland Hills, TX 76180-1655

Mailing address

421 Avalon LN
Coppell, TX 75019-7580

Other identifiers 3

IdentifierTypeStateIssuer
42082OtherSPECTERA PROVIDER NUMBER
53414OtherDAVIS VISION PROVIDER NUM
928854OtherBLOCK VISION PROVIDER NO.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912124884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 AVALON LN",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 N TARRANT PKWY",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761801655",
            "telephone_number": "817-514-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELINA JAGPAL, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAGPAL",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-462-9304",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6824T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA PROVIDER NUMBER",
            "identifier": "42082",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION PROVIDER NUM",
            "identifier": "53414",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION PROVIDER NO.",
            "identifier": "928854",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.