Active NPI
Tony Duvall Colbert, COA
- Ophthalmic Assistant
- Dallas, TX
National Provider Identifier
1942038609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Assistant
- Practice address
- 4500 South Lancaster Road
Eye Clinic (Clinic 1)
Dallas, TX 75216 - Phone
- (214) 857-4688
- NPI assigned
- Jul 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Assistant | 156FX1101X | Primary |
Addresses
Primary practice location
4500 South Lancaster Road
Eye Clinic (Clinic 1)
Dallas, TX 75216
Mailing address
4500 South Lancaster Road
Eye Clinic (Clinic 1)
Dallas, TX 75216
Phone (214) 857-4688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1942038609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 SOUTH LANCASTER ROAD",
"address_2": "EYE CLINIC (CLINIC 1)",
"city": "DALLAS",
"state": "TX",
"postal_code": "75216",
"telephone_number": "214-857-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 SOUTH LANCASTER ROAD",
"address_2": "EYE CLINIC (CLINIC 1)",
"city": "DALLAS",
"state": "TX",
"postal_code": "75216",
"telephone_number": "214-857-4688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBERT",
"first_name": "TONY",
"middle_name": "DUVALL",
"credential": "COA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-24",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1101X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ophthalmic Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.