Organization Active NPI

Vista Ophthalmology Associates, PA

  • Ophthalmology Physician
  • Frisco, TX
National Provider Identifier
1992896021
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VISTA OPHTHALMOLOGY ASSOCIATES, PA
Practice address
5575 Warren Pkwy Ste 210
Frisco, TX 75034-4066
Phone
(214) 618-3937
Fax
(214) 618-3984
NPI assigned
Sep 27, 2006
Last updated
Jan 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Raghav R Gupta, MD
Title
President/Owner
Phone
(214) 618-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

5575 Warren Pkwy Ste 210
Frisco, TX 75034-4066

Mailing address

5575 Warren Pkwy Ste 210
Frisco, TX 75034-4066
Phone (214) 618-3937

Other identifiers 1

IdentifierTypeStateIssuer
158172001MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1992896021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 WARREN PKWY STE 210",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344066",
            "telephone_number": "214-618-3937",
            "fax_number": "214-618-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 WARREN PKWY STE 210",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344066",
            "telephone_number": "214-618-3937",
            "fax_number": "214-618-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA OPHTHALMOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RAGHAV",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "214-618-3937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158172001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.