Active NPI
Vision & Eye Care, P.a.
- Optometrist
- Dallas, TX
National Provider Identifier
1972747673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5258TG
- Legal business name
- VISION & EYE CARE, P.A.
- Practice address
- 1151 N Buckner Blvd Ste 407
Dallas, TX 75218-3407 - Phone
- (214) 643-6552
- Fax
- (833) 211-6593
- NPI assigned
- Apr 24, 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
- Paul Mendoza
- Title
- President, Ceo
- Phone
- (214) 643-6552
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5258TG | TX | Primary |
Addresses
Primary practice location
1151 N Buckner Blvd Ste 407
Dallas, TX 75218-3407
Mailing address
PO Box 181473
Dallas, TX 75218-8473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041987104 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8024 Spring Valley Rd
Dallas, TX 75240
Phone (972) 234-2020
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
- Dallas, TX
- NPI 1548277320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719964800000",
"number": "1972747673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 181473",
"city": "DALLAS",
"state": "TX",
"postal_code": "752188473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 N BUCKNER BLVD STE 407",
"city": "DALLAS",
"state": "TX",
"postal_code": "752183407",
"telephone_number": "214-643-6552",
"fax_number": "833-211-6593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISION & EYE CARE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-24",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A",
"authorized_official_last_name": "MENDOZA",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT, CEO",
"authorized_official_telephone_number": "214-643-6552"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "5258TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041987104",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.