Organization Active NPI

Ball Family Vision Center

Doing business as Eagle Eye Care

  • Optometrist
  • Argyle, TX
National Provider Identifier
1942425855
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6059T Issued in TX
Legal business name
BALL FAMILY VISION CENTER
Doing business as
Eagle Eye Care
Practice address
100 Country Club Rd Ste 120
Argyle, TX 76226
Phone
(940) 464-2020
Fax
(940) 464-2021
NPI assigned
Apr 16, 2007
Last updated
Aug 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Authorized official

Name
Elaine M Shih, ODNPI 1730195561
Title
Owner/Physician
Phone
(940) 464-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6059T TX Primary

Addresses

Primary practice location

100 Country Club Rd Ste 120
Argyle, TX 76226

Mailing address

100 Country Club Rd Ste 120
Argyle, TX 76226-2358
Phone (940) 464-2020

Other practice location 1

3020 Broadmoor Ln Ste 300
Flower Mound, TX 75022-2705
Phone (972) 221-2020

Other identifiers 2

IdentifierTypeStateIssuer
00140SOtherTXMEDICARE PTIN
0078FAOtherTXBCBS

Other names 1

  • Eagle Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051114001123 TX Part B Supplier - Clinic/Group Practice 4486673993 Receives reassigned benefits from 1 practitioner
Practice locations: Argyle, TX

National Provider Directory

National Provider Directory

Locations

3020 Broadmoor Ln
Ste 300
Flower Mound, TX 75022
Phone (214) 383-8188

376 W Main St
Ste A
Lewisville, TX 75057
Phone (972) 221-2020

Practitioners & affiliated clinicians

Practitioners 2

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1942425855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COUNTRY CLUB RD STE 120",
            "city": "ARGYLE",
            "state": "TX",
            "postal_code": "762262358",
            "telephone_number": "940-464-2020",
            "fax_number": "940-464-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COUNTRY CLUB RD STE 120",
            "city": "ARGYLE",
            "state": "TX",
            "postal_code": "76226",
            "telephone_number": "940-464-2020",
            "fax_number": "940-464-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3020 Broadmoor Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750222705",
            "country_code": "US",
            "telephone_number": "972-221-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALL FAMILY VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "SHIH",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "940-464-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6059T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTIN",
            "identifier": "00140S",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0078FA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Argyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.