Organization Active NPI

Vision & Eye Care, P.a.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1972747673
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5258TG Issued in TX
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

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Paul MendozaNPI 1548277320
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
041987104MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090709000045 TX Part B Supplier - Clinic/Group Practice 4880746619 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX; Garland, TX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.