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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 06672
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295778793 | Other | TX | NPI |
| 1711129-02 | Medicaid | TX |
Other names 1
- Dr. Jaime Hall-Malouf
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Dr Jaime Hall-Malouf
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Wills Point, TX
- NPI 1124449616
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Wills Point, TX
- NPI 1295778793
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.