PEDIATRIC OPHTHALMOLOGY PA (NPI# 1114050242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114050242 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC OPHTHALMOLOGY PA |
| Practice Address |
8222 Douglas Ave Ste 400 Dallas TX 75225-5923 |
| Practice Telephone | 2143696434 |
| Practice Fax Number | 2146396273 |
| Mailing Telephone | 2143696434 |
| Mailing Fax Number | 2146396273 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-05-06 |
| Authorized Official Name | DR. DAVID R STAGER SR. (PRESIDENT) |
| Authorized Official Telephone | 2143696434 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 094814301 | 05 | |
| TX | RAILROAD MEDICARE | CD8338 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619195047 | Pediatric Ophthalmology Pa | Ophthalmology | 1631 Lancaster Dr, # 200, Grapevine, TX 76051-3585 | 2007-04-23 |
| 1558484261 | Pediatric Ophthalmology Pa | Ophthalmology | 6200 W Parker Rd, # 508, Plano, TX 75093-7939 | 2007-04-09 |
| Street Address |
8222 DOUGLAS AVE STE 400 |
| City | DALLAS |
| State | TX |
| Zip Code | 75225-5923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023015757 | Joseph Paul Peterman | Pediatrics | 8222 Douglas Ave, Suite #500, Dallas, TX 75225-5923 | 2005-07-07 |
| 1720449234 | Megan Aul | Counselor | 8222 Douglas Ave, Suite 375, Dallas, TX 75225-5923 | 2016-03-10 |
| 1003284100 | Enterhealth | Clinic/Center | 8222 Douglas Ave, Dallas, TX 75225-5923 | 2015-09-04 |
| 1700275005 | Dr. Jan Martin Dunn, Pllc | Community/Behavioral Health | 8222 Douglas Ave, Suite 777, Dallas, TX 75225-5923 | 2015-01-10 |
| 1649680679 | Chelsea Apree Clicque | Counselor | 8222 Douglas Ave, Suite 375, Dallas, TX 75225-5923 | 2014-04-29 |
| 1164787669 | Enterhealth Outpatient Services | Counselor | 8222 Douglas Ave, Suite375, Dallas, TX 75225-5923 | 2012-07-10 |
| 1306119946 | Kay Colbert | Social Worker | 8222 Douglas Ave, Ste 375, Dallas, TX 75225-5923 | 2012-02-13 |
| 1144507815 | Ursi, LLC | Counselor | 8222 Douglas Ave, Suite 375, Dallas, TX 75225-5923 | 2011-11-09 |
| 1174807903 | Center for Misaligned Eyes Pa | Ophthalmology | 8222 Douglas Ave, Suite 400, Dallas, TX 75225-5923 | 2011-09-28 |
| 1588975189 | Pam Mesker Pierce | Social Worker | 8222 Douglas Ave, Ste. 375, Dallas, TX 75225-5923 | 2010-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508325275 | Buckner Senior Living, Inc. | Skilled Nursing Facility | One Ventana Way, 8301 N Central Expressway, Dallas, TX 75225 | 2019-03-13 |
| 1659872224 | Brandy Morgan | Specialist/Technologist | 8100 Lomo Alto Drive, 200, Dallas, TX 75225 | 2018-02-28 |
| 1225554165 | Southwest Joint Pain Management, LLC | Nurse Anesthetist, Certified Registered | 8611 Hillcrest Rd, Suite 245d, Dallas, TX 75225 | 2017-08-22 |
| 1508304627 | Paula Miltenberger, Ph.d., Pa | Psychologist | 5949 Sherry Lane, Suite 752, Dallas, TX 75225 | 2017-02-09 |
| 1194184564 | Monitoring Concepts Iom Group | Specialist/Technologist, Other | 4536 Lovers Lane, Ste 410, Dallas, TX 75225 | 2016-02-15 |
| 1285017343 | Leilani So Wiltz | Pediatrics | 3 Abbotsford Court, Dallas, TX 75225 | 2015-07-07 |
| 1932599511 | Anthony Ramos | Chiropractor | 6211 W. Northwest Hwy, Suite C-159, Dallas, TX 75225 | 2015-02-03 |
| 1750635405 | Edith R Fekete | Psychiatry & Neurology | 6335 W. Northwest Hwy. Apt. 1918, Dallas, TX 75225 | 2012-11-02 |
| 1982998019 | Child and Family Assessment Center, Pllc | Psychologist | 8117 Preston Rd., Ste. 300, Dallas, TX 75225 | 2011-06-06 |
| 1184950420 | Mwh Chiropractic | Chiropractor | 6170 Sherry Lane, Suite 300, Dallas, TX 75225 | 2009-10-21 |
| Find all providers in zip 75225 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962990556 | David Fell | Ophthalmology | 5303 Harry Hines Blvd Dallas Tx 6th Floor, Dallas, TX 75390-3957 | 2018-04-29 |
| 1548781594 | Cataract Vision Institute of Texas, Pllc | Ophthalmology | 14160 N. Dallas Pkwy, Ste 100, Dallas, TX 75254 | 2017-06-29 |
| 1952776866 | Jerome Leon Byers | Ophthalmology | 12271 Coit Rd., #1110, Dallas, TX 75251-2310 | 2015-12-03 |
| 1164892857 | Edwin Gulledge Grafton Jr. | Ophthalmology | 6235 Ravendale Ln., Dallas, TX 75214 | 2015-10-07 |
| 1386010122 | Adam R. Miller, M.d., P.a. | Ophthalmology | 7777 Forest Ln Ste B424, Dallas, TX 75230-6826 | 2015-08-17 |
| 1861800781 | Jw Eye Associates, Pa | Ophthalmology | 15635 Coit Rd, Dallas, TX 75248-4427 | 2014-07-23 |
| 1407273402 | Courtney Kiersten Pollard | Ophthalmology | 5323 Harry Hines Blvd Dept Of, Dallas, TX 75390 | 2014-03-27 |
| 1891139101 | Rabeea Khan | Ophthalmology | 5323 Harry Hines Blvd Ophthalmology Mc 9057, Dallas, TX 75390-1437 | 2013-04-18 |
| 1215290531 | Lauren Nichelle Dobbs Wiggins | Ophthalmology | 3600 Gaston Ave Ste 858, Dallas, TX 75246-1908 | 2012-06-21 |
| 1508144924 | Charles Bain Key | Ophthalmology | 2801 Turtle Creek Blvd Apt 12w, Dallas, TX 75219-4886 | 2011-08-02 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.