NPIMap

Organization Active NPI

Eagle Eye Associates, P.a

  • Corneal and Contact Management Optometrist
  • Farmers Branch, TX
National Provider Identifier
1962626259
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
6065T Issued in TX
Legal business name
EAGLE EYE ASSOCIATES, P.A
Practice address
13307 Midway Rd Ste 100
Farmers Branch, TX 75244-5121
Phone
(972) 392-0884
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Authorized official

Name
Dr. Ya Chen Chen, O.D.
Title
O.D.
Phone
(469) 688-0399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 6065T TX Primary

Addresses

Primary practice location

13307 Midway Rd Ste 100
Farmers Branch, TX 75244-5121

Mailing address

7004 Chandler Dr
Plano, TX 75024-4807

Other identifiers 1

IdentifierTypeStateIssuer
00X540OtherTXPTAN

Other names 1

  • Dr. Stephanie Yachen Chen Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070221000303 TX Part B Supplier - Clinic/Group Practice 4082716147 Receives reassigned benefits from 3 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

4122 LBJ
Ste 100
Dallas, TX 75244

13307 Midway Rd
Ste 100
Farmers Branch, TX 75244
Phone (972) 392-0884

4122 LBJ
Ste 120
Farmers Branch, TX 75244
Phone (972) 392-0884

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1962626259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 CHANDLER DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13307 MIDWAY RD STE 100",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752445121",
            "telephone_number": "972-392-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE EYE ASSOCIATES, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "YA CHEN",
        "authorized_official_title_or_position": "O.D.",
        "authorized_official_telephone_number": "469-688-0399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "6065T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "00X540",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Stephanie Yachen Chen",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.