Organization Active NPI

Jaime Hall-Malouf, O.D. 20/20 Vision Care, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Wills Point, TX
National Provider Identifier
1972740926
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
06672 Issued in TX
Legal business name
JAIME HALL-MALOUF, O.D. 20/20 VISION CARE, P.C.
Practice address
140 W James St
Wills Point, TX 75169-2049
Phone
(903) 873-5757
Fax
(903) 873-5522
NPI assigned
Jan 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Dr. Jaime Gaile Hall-Malouf, O.D.NPI 1295778793
Title
Optometrist/Owner
Phone
(903) 873-5757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 06672 TX Primary

Addresses

Primary practice location

140 W James St
Wills Point, TX 75169-2049

Mailing address

140 W James St
Wills Point, TX 75169-2049
Phone (903) 873-5757

Other identifiers 2

IdentifierTypeStateIssuer
1295778793OtherTXNPI
1711129-02MedicaidTX

Other names 1

  • Dr. Jaime Hall-Malouf Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140108000324 TX Part B Supplier - Clinic/Group Practice 3870721376 Receives reassigned benefits from 1 practitioner
Practice locations: Wills Point, TX

National Provider Directory

National Provider Directory
Tax ID family
Dr Jaime Hall-Malouf2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1972740926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W JAMES ST",
            "city": "WILLS POINT",
            "state": "TX",
            "postal_code": "751692049",
            "telephone_number": "903-873-5757",
            "fax_number": "903-873-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W JAMES ST",
            "city": "WILLS POINT",
            "state": "TX",
            "postal_code": "751692049",
            "telephone_number": "903-873-5757",
            "fax_number": "903-873-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME HALL-MALOUF, O.D. 20/20 VISION CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "HALL-MALOUF",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "GAILE",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "903-873-5757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "06672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295778793",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1711129-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Jaime Hall-Malouf",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wills Point, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.