DR. LYLE SHELDON THORSTENSON (NPI# 1851399364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851399364 |
| Entity Type | Individual |
| Full Name | DR. LYLE SHELDON THORSTENSON |
| Credential | M. D. |
| Practice Address |
4500 S Lancaster Rd Ste 112c Dallas TX 75216-7167 |
| Mailing Address |
Po Box 845347 Dallas TX 75284-5347 |
| Practice Telephone | 2148571441 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2014-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | F2064 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE | 8F2997 | 01 |
| TX | BLUE CROSS BLUE SHIELD | HH69 | 01 |
| TX | 033864201 | 05 | |
| TX | 033864202 | 05 | |
| TX | P000HH693 | 05 |
| Street Address |
4500 S LANCASTER RD STE 112C |
| City | DALLAS |
| State | TX |
| Zip Code | 75216-7167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384115 | Dg Edwards Pllc | Clinic/Center | 4498 Marsalis Avenue, Dallas, TX 75216 | 2020-07-30 |
| 1407407984 | Margaret Ruth Mitchell | Technician | 4950 Wadsworth Apt 1019, Dallas, TX 75216 | 2019-09-25 |
| 1033605373 | James Sherman Mckoy | Radiology | 45oo S Lancaster Rd, Dallas, TX 75216 | 2018-07-10 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1124546353 | Tiffany Price | Social Worker | 45oo S. Lancaster Rd., Dallas, TX 75216 | 2017-09-08 |
| 1215397476 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 East Illinois Ave, Dallas, TX 75216 | 2016-03-02 |
| 1629466834 | Elena Mayra Rodriguez | Physician Assistant | 3200 S Lancaster Rd Ste 180, Dallas, TX 75216 | 2014-12-23 |
| 1043651367 | Lakisha Henderson | Registered Nurse | 2619 S. Lancaster Rd, Dallas, TX 75216 | 2013-07-15 |
| 1669812871 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5050 S Lancaster Rd, Dallas, TX 75216 | 2013-07-02 |
| 1922341361 | Angela S Ayers | Home Health Aide | 302 Zang Ave, Dallas, TX 75216 | 2013-04-04 |
| Find all providers in zip 75216 | ||||
| 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.