MIDWAY EYE ASSOCIATES (NPI# 1780864066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780864066 |
| Entity Type | Organization |
| Organization Name | MIDWAY EYE ASSOCIATES |
| Practice Address |
3405 Midway Rd Suite 421 Plano TX 75093-8138 |
| Practice Telephone | 9728012727 |
| Practice Fax Number | 9729433485 |
| Mailing Telephone | 9728012727 |
| Mailing Fax Number | 9729433485 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-07 |
| Authorized Official Name | DR. DEBORAH ANN BROUSSARD (OPTOMETRIST) |
| Authorized Official Telephone | 9728012727 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
6060TG | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS GROUP | 0081FB | 01 |
| Street Address |
3405 MIDWAY RD SUITE 421 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-8138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740226380 | Vascular One Diagnostics, LLC | Physiological Laboratory | 3405 Midway Rd, Suite 400, Plano, TX 75093-8138 | 2006-06-21 |
| 1891308763 | Ethicus Hospital Dfw, LLC | Clinic/Center | 3405 Midway Rd, Plano, TX 75093-8138 | 2020-08-28 |
| 1992014567 | Lauren Joe Bailey | Optometrist | 3405 Midway Rd, Suite 421, Plano, TX 75093-8138 | 2010-09-30 |
| 1528250214 | Mark A Mcquaid Md Pa | Surgery | 3405 Midway Rd, Suite 400, Plano, TX 75093-8138 | 2007-08-16 |
| 1427182716 | Deborah Lee Cox | Specialist | 3405 Midway Rd, Suite 500, Plano, TX 75093-8138 | 2007-03-16 |
| 1396828075 | Helen Holmes Prentice | Occupational Therapist | 3405 Midway Rd, Suite 500, Plano, TX 75093-8138 | 2006-10-24 |
| 1588748917 | Julie Messner | Pediatrics | 3405 Midway Rd, Suite 650, Plano, TX 75093-8138 | 2006-10-24 |
| 1396844270 | Jenelle C. Wong | Pediatrics | 3405 Midway Rd, Suite 650, Plano, TX 75093-8138 | 2006-09-21 |
| 1205935186 | Charles D. Goebel | Pediatrics | 3405 Midway Rd, Suite 650, Plano, TX 75093-8138 | 2006-09-21 |
| 1114026093 | Jeffrey B. Berkowitz | Pediatrics | 3405 Midway Rd, Suite 650, Plano, TX 75093-8138 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902972177 | Deborah Ann Moon | Optometrist | 4012 Preston Rd, Suite 500, Plano, TX 75093-7368 | 2006-11-28 |
| 1497830434 | Danny Paul Malone | Optometrist | 2220 Coit Rd, Suite 560, Plano, TX 75075-3797 | 2006-10-26 |
| 1780911107 | Dr. Chao & Associates, Pllc | Optometrist | 4909 W Park Blvd, Suite 135, Plano, TX 75093-2311 | 2009-11-05 |
| 1386833192 | Charles Shidlofsky O.d., P.a. | Optometrist | 5934 W Parker Rd, Ste. 500, Plano, TX 75093-6409 | 2007-10-17 |
| 1700074879 | Dr. Hyejon Ko, P.a. | Optometrist | 6121 W Park Blvd, Ste D-120, Plano, TX 75093-6221 | 2007-10-14 |
| 1326199381 | James A Williams O.d.p.c. | Optometrist | 811 N Central Expy, Suite 1145, Plano, TX 75075-8815 | 2007-01-16 |
| 1144299538 | James Arthur Williams | Optometrist | 811 N Central Expy, Suite 1145, Plano, TX 75075-8815 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004840 | Dripping Springs Vision Center, Pa | Optometrist | 750 W Highway 290, Dripping Springs, TX 78620-3861 | 2020-05-12 |
| 1427693621 | Huynh Vision Services Inc PC | Optometrist | 1405 W Berry St, Ft Worth, TX 76110-3814 | 2019-11-12 |
| 1992367460 | Budaful Eyes Pllc | Optometrist | 15550 S Ih 35 Frontage Rd, 107, Buda, TX 78610 | 2019-07-03 |
| 1831631134 | Divine Innovations Pllc | Optometrist | 6646 S Staples St Ste 108, Corpus Christi, TX 78413-5426 | 2016-11-17 |
| 1679024384 | Chao and Yi Eye Associates, PC | Optometrist | 9722 Gaston Road, Suite: 170, Katy, TX 77494 | 2016-10-18 |
| 1811344674 | Rayford Eye Associates, Pllc | Optometrist | 2833 Riley Fuzzel Rd., #300, Spring, TX 77386 | 2016-05-20 |
| 1902224173 | Doris D Forte | Optometrist | 11341 Hillard Street, Ellington Air Station, Houston, TX 77034 | 2014-04-03 |
| 1770922338 | Napoleon Cabaguio Lovero II | Optometrist | 520 Waugh Drive, Houston, TX 77019 | 2013-06-17 |
| 1093052128 | Renaissance Eyecare | Optometrist | 2900 East Berry Street Suite 101, Fort Worth, TX 76105-4755 | 2013-01-09 |
| 1851636989 | Trophy Club Vision Care LLP | Optometrist | 2001 E Highway 114 Ste 180, Trophy Club, TX 76262-6656 | 2012-11-29 |
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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.