MED SOUTHWEST, PLLC (NPI# 1861093353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861093353 |
| Entity Type | Organization |
| Organization Name | MED SOUTHWEST, PLLC |
| Practice Address |
819 Ira E Woods Ave Grapevine TX 76051-4012 |
| Mailing Address |
1950 Old Gallows Rd Ste 520 Vienna VA 22182-3970 |
| Practice Telephone | 8174884893 |
| Practice Fax Number | 8174885939 |
| Mailing Telephone | 7038478899 |
| Mailing Fax Number | 5712236780 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | SUE DOWNES (SECRETARY) |
| Authorized Official Telephone | 7038478899 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140543 | Med Southwest, Pllc | Optometrist | 127 N 5th St, Silsbee, TX 77656-4030 | 2020-09-30 |
| 1083222111 | Med Southwest, Pllc | Optometrist | 1030 East Hwy 377 Ste 106, Granbury, TX 76048-1457 | 2020-07-15 |
| 1093323123 | Med Southwest, Pllc | Optometrist | 104 E Us Highway 80 Ste 100, Forney, TX 75126-8616 | 2020-07-15 |
| 1255949384 | Med Southwest, Pllc | Optometrist | 425 E Pleasant Run Rd Ste 299, Cedar Hill, TX 75104-1883 | 2020-07-15 |
| 1992313027 | Med Southwest, Pllc | Optometrist | 1929 W State Highway 46 Ste 103, New Braunfels, TX 78132-5337 | 2020-07-15 |
| 1639701196 | Med Southwest, Pllc | Optometrist | 3600 Fm 407 E Ste 190, Lantana, TX 76226-9743 | 2020-02-12 |
| 1225677115 | Med Southwest, Pllc | Optometrist | 231 E Fm 544 Ste 707, Murphy, TX 75094-4048 | 2019-12-26 |
| 1558900373 | Med Southwest, Pllc | Optometrist | 6725 Deleware Street, Beaumont, TX 77706-7655 | 2019-12-26 |
| 1235778127 | Med Southwest, Pllc | Optometrist | 850 William D Fitch Pkwy Ste 700, College Station, TX 77845-6464 | 2019-12-26 |
| 1306482385 | Med Southwest, Pllc | Optometrist | 4110 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| Street Address |
819 IRA E WOODS AVE |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-4012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992791289 | Reedee Granado-chaney | Optometrist | 819 Ira E Woods Ave, Grapevine, TX 76051-4012 | 2005-09-22 |
| 1104957257 | 20-20 Vision Clinic, LLP | Optometrist | 819 Ira E Woods Ave, Grapevine, TX 76051-4012 | 2007-03-08 |
| 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 | 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 |
|---|---|---|---|---|
| 1477953172 | Nathan Dirks | Optometrist | 1217 W Hwy 114, Suite 106, Grapevine, TX 76051 | 2014-08-29 |
| 1053685347 | Sunrise Eyecare | Optometrist | 1820 Altacrest Dr, Grapevine, TX 76051-7326 | 2012-03-04 |
| 1528247236 | Dr. Mark Zebrowski Od, Pa | Optometrist | 1319 W St Hwy 114, Suite 320, Grapevine, TX 76051-8617 | 2007-10-30 |
| 1619048063 | Doris H Chao | Optometrist | 3000 Grapevine Mills Pkwy, 433, Grapevine, TX 76051-2008 | 2006-11-09 |
| 1467495010 | Ann Marie Roush | Optometrist | 314 S Park Blvd, Grapevine, TX 76051-7835 | 2006-06-13 |
| 1306802012 | Jimmy Tran | Optometrist | 2201 Westgate Plz, Grapevine, TX 76051-8037 | 2006-04-21 |
| 1427010263 | Mark S Zebrowski | Optometrist | 1319 W State Highway 114, Suite 320, Grapevine, TX 76051-8617 | 2006-04-05 |
| 1225010762 | Tom L. Chandler | Optometrist | 338 S Main St, Grapevine, TX 76051-5319 | 2005-11-18 |
| 1992791289 | Reedee Granado-chaney | Optometrist | 819 Ira E Woods Ave, Grapevine, TX 76051-4012 | 2005-09-22 |
| 1174767693 | Joyes Abraham, O.d. | Optometrist | 1601 W State Highway 114, Grapevine, TX 76051-8651 | 2009-04-28 |
| Find all providers in GRAPEVINE | ||||
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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.