Active NPI
Grace Eye Clinic PA
- Optometrist
- Dallas, TX
National Provider Identifier
1992903900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 07005TG
- Legal business name
- GRACE EYE CLINIC PA
- Practice address
- 13331 Preston Rd
1068
Dallas, TX 75240-1130 - Phone
- (972) 458-7979
- Fax
- (972) 458-7503
- NPI assigned
- Jul 11, 2007
- 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. Youngson Joe, OD
- Title
- President
- Phone
- (972) 458-7979
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 07005TG | TX | Primary |
Addresses
Primary practice location
13331 Preston Rd
1068
Dallas, TX 75240-1130
Mailing address
13331 Preston Rd
1068
Dallas, TX 75240-1130
Phone (972) 458-7979
Other names 1
- BRAZOS EYE CARE
National Provider Directory
National Provider DirectoryLocations
13331 Preston Rd
#1068
Dallas, TX 75240
Phone (972) 458-7979
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
- Houston, TX
- NPI 1275028797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726704000000",
"number": "1992903900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13331 PRESTON RD",
"address_2": "1068",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401130",
"telephone_number": "972-458-7979",
"fax_number": "972-458-7503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13331 PRESTON RD",
"address_2": "1068",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401130",
"telephone_number": "972-458-7979",
"fax_number": "972-458-7503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE EYE CLINIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-11",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A",
"authorized_official_last_name": "JOE",
"authorized_official_first_name": "YOUNGSON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-458-7979",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "07005TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BRAZOS EYE CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.