PEDIATRIC OPHTHALMOLOGY PA (NPI# 1619195047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619195047 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC OPHTHALMOLOGY PA |
| Practice Address |
1631 Lancaster Dr # 200 Grapevine TX 76051-3585 |
| Mailing Address |
8222 Douglas Ave Ste 400 Dallas TX 75225-5923 |
| Practice Telephone | 8173295433 |
| Practice Fax Number | 8173295532 |
| Mailing Telephone | 2143696434 |
| Mailing Fax Number | 2146966273 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2010-09-08 |
| Authorized Official Name | 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 | 130345509 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558484261 | Pediatric Ophthalmology Pa | Ophthalmology | 6200 W Parker Rd, # 508, Plano, TX 75093-7939 | 2007-04-09 |
| 1114050242 | Pediatric Ophthalmology Pa | Ophthalmology | 8222 Douglas Ave, Ste 400, Dallas, TX 75225-5923 | 2007-03-14 |
| Street Address |
1631 LANCASTER DR # 200 |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-3585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972504322 | Patricia Ann Decker | Physician Assistant | 1631 Lancaster Dr, Suite 150, Grapevine, TX 76051-3585 | 2005-08-09 |
| 1093197865 | Debbie Lea Roso | Nurse Practitioner | 1631 Lancaster Dr, Grapevine, TX 76051-3585 | 2015-06-29 |
| 1902211337 | Angela Vodraska | Nurse Practitioner | 1631 Lancaster Dr, Ste. 150, Grapevine, TX 76051-3585 | 2014-06-24 |
| 1114208683 | Oncology Pharmacy Services, Inc. | Pharmacy | 1631 Lancaster Dr, Suite 150, Grapevine, TX 76051-3585 | 2011-08-29 |
| 1457650145 | Ckw Group, Advanced Venous Therapy | Phlebology | 1631 Lancaster Dr, Suite240, Grapevine, TX 76051-3585 | 2011-03-21 |
| 1336219294 | Tommie Lynn Cook | Pharmacist | 1631 Lancaster Dr, Suite 150, Grapevine, TX 76051-3585 | 2006-11-08 |
| 1649292467 | John Tong | Ophthalmology | 1631 Lancaster Dr, Ste 200, Grapevine, TX 76051 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| 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 |
|---|---|---|---|---|
| 1245552447 | Ferhina Sultana Ali | Ophthalmology | 2321 Ira E Woods Ave Ste 200, Grapevine, TX 76051-8632 | 2010-02-16 |
| 1811926769 | Jawad Ahmad Qureshi | Ophthalmology | 2321 Ira E Woods Ave, Suite 200, Grapevine, TX 76051-8632 | 2006-07-02 |
| 1528011244 | Phillips Kirk Labor | Ophthalmology | 2201 Westgate Plaza, Grapevine, TX 76051 | 2006-05-17 |
| 1881994713 | Jawad A Qureshi Md Pa | Ophthalmology | 2321 Ira E Woods Ave, Suite 200, Grapevine, TX 76051-8632 | 2010-10-26 |
| 1801063540 | Michael Mong | Ophthalmology | 1600 W College St, #390, Grapevine, TX 76051-3580 | 2008-05-12 |
| 1083881171 | Alliance Eye Care Associates, P.a. | Ophthalmology | 1600 W College St, #390, Grapevine, TX 76051-3580 | 2008-05-08 |
| 1265588461 | Eye Consultants of Texas Pa | Ophthalmology | 2201 Westgate Plz, Grapevine, TX 76051-8037 | 2007-01-28 |
| 1164588596 | Texas Health Care, P.l.l.c. | Ophthalmology | 2201 Westgate Plaza, Grapevine, TX 76051-8037 | 2006-12-29 |
| 1649292467 | John Tong | Ophthalmology | 1631 Lancaster Dr, Ste 200, Grapevine, TX 76051 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537402 | Dr. Rachel Gelmans Vision P.a. | Ophthalmology | 5201 North G Street, Mcallen, TX 78504 | 2020-10-28 |
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1275180135 | Texas Eye Doctors, P.a. | Ophthalmology | 4501 Medical Center Dr Ste 300, Mckinney, TX 75069-6802 | 2019-08-23 |
| 1760036990 | Ward Dittmar Heinrich Jr. | Ophthalmology | 3295 Lockhill Selma Rd, San Antonio, TX 78230-3024 | 2019-07-25 |
| 1265091300 | Sheila Barbarino, Md Inc. | Ophthalmology | 1100 S Lamar Blvd Ste 2120, Austin, TX 78704-0380 | 2019-06-12 |
| 1487213872 | Mann Eye Center, Pa | Ophthalmology | 1530 Sun City Blvd Ste 150, Georgetown, TX 78633-5353 | 2019-06-10 |
| 1609432210 | J.w. Eye Associates, Pa | Ophthalmology | 11445 Dallas Pkwy Ste 290, Frisco, TX 75033-4257 | 2019-05-20 |
| 1376000737 | Nadim Sami Nassif | Ophthalmology | 5150 Hidalgo St Unit 403, Houston, TX 77056-6409 | 2019-02-21 |
| 1073087706 | Laser Sight, Lp | Ophthalmology | 6500 N Mo Pac Expy Ste 2101, Austin, TX 78731-3282 | 2019-01-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PEDIATRIC OPHTHALMOLOGY PA.
| 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.