Individual provider Active NPI

Kenneth I Uzick, O.D.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1952391666
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5037TG Issued in TX
Practice address
8335 Westchester Ave
# 120
Dallas, TX 75225-5716
Phone
(214) 361-1010
Fax
(214) 823-9503
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5037TG TX Primary

Addresses

Primary practice location

8335 Westchester Ave
# 120
Dallas, TX 75225-5716

Mailing address

8335 Westchester Ave
# 120
Dallas, TX 75225-5716
Phone (214) 361-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080716000315 TX Practitioner - Optometry 1254404726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Texas Medical School at Houston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth I Uzick OD PCGroup PAC ID 0244303717, 2 clinicians

Practice addresses (Care Compare)

8335 Westchester Dr
Suite 120
Dallas, TX 75225-5717
Phone (214) 361-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5037TXMDCounselor
5037TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth I Uzick OD PC Optometrist CurrentSince Jun 9, 2008 Accepting new patients

Locations

8335 Westchester Dr
Ste 120
Dallas, TX 75225
Phone (214) 361-1010

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1952391666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 WESTCHESTER AVE",
            "address_2": "# 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255716",
            "telephone_number": "214-361-1010",
            "fax_number": "214-823-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 WESTCHESTER AVE",
            "address_2": "# 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255716",
            "telephone_number": "214-361-1010",
            "fax_number": "214-823-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZICK",
        "first_name": "KENNETH",
        "middle_name": "I",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5037TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.