NPIMap

Organization Active NPI

JW Eye Associates, PLLC

Doing business as Key Whitman Eye Center

  • Ophthalmology Physician
  • Grapevine, TX
National Provider Identifier
1972328177
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
JW EYE ASSOCIATES, PLLC
Doing business as
Key Whitman Eye Center
Practice address
2201 Westgate PLZ
Grapevine, TX 76051-8037
Phone
(214) 754-0000
Fax
(214) 379-1849
NPI assigned
Nov 21, 2024
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Jennifer Boyd Baldock
Title
Officer and Authorized Official
Phone
(615) 234-5954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

2201 Westgate PLZ
Grapevine, TX 76051-8037

Mailing address

11442 N Central Expy
Dallas, TX 75243-6602
Phone (254) 273-1862

Other names 1

  • Key Whitman Eye Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040602001225 TX Part B Supplier - Clinic/Group Practice 6305828567 Receives reassigned benefits from 48 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arlington, TX; Rockwall, TX; Richardson, TX; Plano, TX; Mesquite, TX; McKinney, TX; Greenville, TX; Grapevine, TX…

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2046891JW Eye Associates, PLLC2201 Westgate Plaza, Grapevine, TX 76051Certificate of waiverSep 12, 2026

National Provider Directory

National Provider Directory
Tax ID family
JW Eye Associates PLLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1972328177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11442 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436602",
            "telephone_number": "254-273-1862",
            "fax_number": "214-999-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 WESTGATE PLZ",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518037",
            "telephone_number": "214-754-0000",
            "fax_number": "214-379-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JW EYE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Key Whitman Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Key Whitman Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.