DR. JACK BRADLEY MARX (NPI# 1710049416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710049416 |
| Entity Type | Individual |
| Full Name | DR. JACK BRADLEY MARX |
| Credential | O.D. |
| Practice Address |
3302 N Buckner Blvd #111 Dallas TX 75228-5696 |
| Practice Telephone | 2143241100 |
| Practice Fax Number | 2143243300 |
| Mailing Telephone | 2143241100 |
| Mailing Fax Number | 2143243300 |
| Enumeration Date | 2006-12-16 |
| Last Update Date | 2011-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2619T | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LICENSE NUMBER | 2619T | 01 |
| TX | 093359001 | 05 |
| Street Address |
3302 N BUCKNER BLVD #111 |
| City | DALLAS |
| State | TX |
| Zip Code | 75228-5696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134222664 | Chi Hue Huynh | Dentist | 3302 N Buckner Blvd, Ste 119, Dallas, TX 75228 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437625092 | Le Reve Rehab & Mc LLC | Skilled Nursing Facility | 3309 Dilido Road, Dallas, TX 75228 | 2018-10-22 |
| 1083905053 | R2j Investments LLC | Pharmacy | 6300 Samual Blvd, Ste #118, Dallas, TX 75228 | 2011-04-26 |
| 1376709493 | Rupen Suresh Amin | Family Medicine | 2360 Gus Thomasson Rd, Dallas, TX 75228 | 2008-07-29 |
| 1356512453 | Affirm Healthcare, LLC | Home Health | 10950 Woodmeadow Pkwy, #223, Dallas, TN 75228 | 2008-03-17 |
| 1629280110 | Shining Star Home Health Care Inc | Home Health | 8344 East R L Thronton Fwy, Ste # 203, Dallas, TX 75228 | 2007-05-04 |
| 1922123728 | Federico Maese | Family Medicine | 12601 E. Northwest Hwy, Dallas, TX 75228 | 2007-03-20 |
| 1578602223 | Rob F Smith | Social Worker | 8035 East R L Thornton Freeway, Suite #503, Dallas, TX 75228 | 2007-02-06 |
| 1710037023 | Candace Freeman Mcdaniel | Family Medicine | 8021 East R. L. Thornton Frwy, Suite A, Dallas, TX 75228 | 2007-01-11 |
| 1841376175 | Dana Ray Scott | Dentist | 2335 Gus Thomasson, Dallas, TX 75228 | 2006-10-30 |
| 1255425625 | Optimal Home Health Inc | Home Health | 8344 E R L Thornton Fwy Ste 214, Dallas, TX 75228 | 2006-10-03 |
| Find all providers in zip 75228 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221103 | Mel Vision LLC | Optometrist | 6471 E Northwest Hwy Ste 130, Dallas, TX 75231-8007 | 2020-10-02 |
| 1447872270 | James M Chin Pllc | Optometrist | 8041 Walnut Hill Ln # 817, Dallas, TX 75231-4332 | 2020-05-14 |
| 1073158192 | Med Southwest, Pllc | Optometrist | 11888 Marsh Ln Ste 114, Dallas, TX 75234-8083 | 2019-11-13 |
| 1053956185 | Med Southwest, Pllc | Optometrist | 5455 Belt Line Rd # 151, Dallas, TX 75254-1517 | 2019-11-13 |
| 1043867526 | Ht Optometry Pllc | Optometrist | 1201 Elm St Ste Ll20, Dallas, TX 75270-2029 | 2019-08-20 |
| 1396399721 | Libra Optometry Pa | Optometrist | 7859 Walnut Hill Ln Ste 185, Dallas, TX 75230-5605 | 2019-07-24 |
| 1841755212 | John Stuart Jr. | Optometrist | 12820 Hillcrest Rd Ste 100, Dallas, TX 75230-1516 | 2019-02-09 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1265911663 | Jasmine Theresa Hayes | Optometrist | 2959 S Buckner Blvd Ste 700, Dallas, TX 75227-6950 | 2018-08-07 |
| 1306332226 | Lindsey Bank | Optometrist | 8611 Hillcrest Ave Ste 140, Dallas, TX 75225-4217 | 2018-07-03 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on DR. JACK BRADLEY MARX.
| 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.