NPIMap

Organization Active NPI

20/20 Icare and Iwear, PLLC

  • Optometrist
  • Grand Prairie, TX
National Provider Identifier
1932629987
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8143TG Issued in TX
Legal business name
20/20 ICARE AND IWEAR, PLLC
Practice address
3510 S State Hwy 161
Suite 110
Grand Prairie, TX 75052
Phone
(972) 264-7200
Fax
(972) 264-7220
NPI assigned
Jun 21, 2017
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Long DO, ODNPI 1154763340
Title
Managing Optometrist
Phone
(817) 262-2145

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8143TG TX Primary
Corneal and Contact Management Optometrist 152WC0802X
Vision Therapy Optometrist 152WV0400X

Addresses

Primary practice location

3510 S State Hwy 161
Suite 110
Grand Prairie, TX 75052

Mailing address

1001 Rhone LN
Southlake, TX 76092-1449
Phone (817) 262-2145

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171106003116 TX Part B Supplier - Clinic/Group Practice 3870859994 Receives reassigned benefits from 2 practitioners
Practice locations: Grand Prairie, TX

National Provider Directory

National Provider Directory

Locations

3510 S Highway 161
Ste 110
Grand Prairie, TX 75052
Phone (972) 264-7200

Practitioners & affiliated clinicians

Practitioners 9

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": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1932629987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 RHONE LN",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921449",
            "telephone_number": "817-262-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 S STATE HWY 161",
            "address_2": "SUITE 110",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75052",
            "telephone_number": "972-264-7200",
            "fax_number": "972-264-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20/20 ICARE AND IWEAR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "LONG",
        "authorized_official_title_or_position": "MANAGING OPTOMETRIST",
        "authorized_official_telephone_number": "817-262-2145",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8143TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.