Individual provider Active NPI

Olivia G Carleo, O.D.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1962666867
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7251TG Issued in TX
Practice address
15123 Prestonwood Blvd Ste 120
Dallas, TX 75248-4701
Phone
(214) 253-2000
Fax
(214) 253-2478
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7251TG TX Primary

Addresses

Primary practice location

15123 Prestonwood Blvd Ste 120
Dallas, TX 75248-4701

Mailing address

15123 Prestonwood Blvd Ste 120
Dallas, TX 75248-4701
Phone (214) 253-2000

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
I20090311000244 TX Practitioner - Optometry 0547326852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Veritas, PLLCGroup PAC ID 3779808274, 4 clinicians

Practice addresses (Care Compare)

15123 Prestonwood Blvd
Suite 120
Dallas, TX 75248-4701
Phone (214) 253-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7251TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Veritas, PLLC Optometrist CurrentSince Nov 22, 2014 Accepting new patients

Locations

15123 Prestonwood Blvd
Ste 120
Dallas, TX 75248
Phone (214) 253-2000

Interoperability endpoints

  • Direct secure messaging: droliviacarleo@visionveritas.eyefinity-direct.com

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1962666867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15123 PRESTONWOOD BLVD STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484701",
            "telephone_number": "214-253-2000",
            "fax_number": "214-253-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15123 PRESTONWOOD BLVD STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484701",
            "telephone_number": "214-253-2000",
            "fax_number": "214-253-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLEO",
        "first_name": "OLIVIA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7251TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.