Individual provider Active NPI

Joel David Elsten, O.D.

  • Optometrist
  • Rowlett, TX
National Provider Identifier
1972603546
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5901TG Issued in TX
Practice address
4701 Lakeview Pkwy
Rowlett, TX 75088-4037
Phone
(972) 463-8640
Fax
(972) 463-8640
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 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 5901TG TX Primary

Addresses

Primary practice location

4701 Lakeview Pkwy
Rowlett, TX 75088-4037

Mailing address

506 Mariposa
Rockwall, TX 75087-2481
Phone (972) 463-8640

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
I20160707001228 TX Order and Referring Only - OptometryPractitioner - Optometry 3678519980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59017TXMDClinical Social Worker
5901TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elsten Eyecare Associates Optometrist Past Accepting new patients

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1972603546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 MARIPOSA",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872481",
            "telephone_number": "972-463-8640",
            "fax_number": "972-463-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 LAKEVIEW PKWY",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884037",
            "telephone_number": "972-463-8640",
            "fax_number": "972-463-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSTEN",
        "first_name": "JOEL",
        "middle_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5901TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

Verify at the official NPI Registry.