Pediatric Ophthalmology Pa in Dallas - Ophthalmology

Pediatric Ophthalmology Pa - NPI 1114050242

Pediatric Ophthalmology Pa is a Ophthalmology in Dallas, Texas. Pediatric Ophthalmology Pa practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Pediatric Ophthalmology Pa is 1114050242. The last update date is 2008-05-06.

Pediatric Ophthalmology Pa's current location address is 8222 Douglas Ave, Dallas, Texas. You can contact this provider via phone number 2143696434 and fax number 2146396273. The mailing address for Pediatric Ophthalmology Pa is 8222 Douglas Ave, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pediatric Ophthalmology Pa
Address 8222 Douglas Ave, Dallas, Texas
Phone Number 2143696434
Fax Number 2146396273
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Stager R David
Credentials MD
Telephone Number 2143696434

NPI Number Detail

NPI Number 1114050242
Provider Enumeration Date 2007-03-14
Last Updated Date 2008-05-06

Provider Mailing Address Detail

Address 8222 Douglas Ave
City Dallas
State Texas (TX)
Post Code 752255923
Phone Number 2143696434
Fax Number 2146396273

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Definition:
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 incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CD8338 TX RAILROAD MEDICARE
94814301 TX --

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FAQs about Pediatric Ophthalmology Pa

What is the unique identification code assigned to Pediatric Ophthalmology Pa by the Centers for Medicare & Medicaid Services?

The Pediatric Ophthalmology Pa has been issued the NPI (National Provider Identifier) 1114050242. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Pediatric Ophthalmology Pa is physically located?

The Pediatric Ophthalmology Pa is physically situated at the following address: 8222 Douglas Ave, Dallas, TX, 752255923.

What is Pediatric Ophthalmology Pa's specialized field of practice, and what is the corresponding taxonomy classification code?

The Pediatric Ophthalmology Pa's area of specialization is Ophthalmology, and the corresponding taxonomy code that categorizes this field of practice is 207W00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1114050242 to Pediatric Ophthalmology Pa?

The Centers for Medicare & Medicaid Services originally issued the 1114050242 to Pediatric Ophthalmology Pa on 2007-03-14.

When was the information related to Pediatric Ophthalmology Pa most recently updated or refreshed?

The details pertaining to the Pediatric Ophthalmology Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-06.

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