KEY-WHITMAN EYE CENTER
NPI 1033883517
Ophthalmology in Fort Worth, TX

Active since August 06, 2021CLIA 45D2239713 · Waiver
3400 N TARRANT PKWY STE 110, FORT WORTH, TX 76177(214) 754-0000 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 9, 2024, Aug 6, 2021 (2 updates tracked since 2021).

About Key-whitman Eye Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEY-WHITMAN EYE CENTER (NPI 1033883517) is a healthcare organization registered as an ophthalmology in Fort Worth, Texas and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through October 12, 2027 and lists Jennifer Boyd Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1033883517
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameJW EYE ASSOCIATES, PLLC
Location Address3400 N TARRANT PKWY STE 110Fort Worth, TX 76177-8635
Mailing Address11442 N Central ExpyDallas, TX 75243-6602 · (214) 754-0000
Organization SubpartNo
Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Official · (615) 234-5954
Enumeration DateAugust 6, 2021
Last NPPES UpdateFebruary 9, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
✔ NPI 1033883517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
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 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.
3400 N TARRANT PKWY STE 110, Fort Worth, TX 76177

Other Names 1

Doing Business AsKey-whitman Eye Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Key-whitman Eye Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20040602001225Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

48

Medicare enrollment records show 48 clinicians reassign Medicare billing to Key-Whitman Eye Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Optometry23
Ophthalmology18
Certified Registered Nurse Anesthetist (CRNA)7

Nearest to this location (20)

See all 48
Optometry
NPI 1962404665
101 RIVER OAKS DR STE 100
Southlake, TX 76092
(817) 562-2101
✔ PECOS✔ Accepts Medicare7.5 mi
Ophthalmology
NPI 1033192513
6208 COLLEYVILLE BOULEVARD SUITE 100
Colleyville, TX 76034
(817) 329-4480
✔ PECOS✔ Accepts Medicare9.6 mi
Optometry
NPI 1467621516
2201 WESTGALE PLAZA
Grapevine, TX 76051
(817) 410-2030
✔ PECOS✔ Accepts Medicare12 mi
Optometry
NPI 1306802012
2201 WESTGATE PLZ
Grapevine, TX 76051
(817) 410-2030
✔ PECOS✔ Accepts Medicare12 mi
Ophthalmology
NPI 1447255476
910 N DAVIS DRIVE STE 100
Arlington, TX 76012
(817) 265-8525
✔ PECOS✔ Accepts Medicare16 mi
Optometry
NPI 1174017453
910 N DAVIS DR
Arlington, TX 76012
(817) 460-2272
✔ PECOS✔ Accepts Medicare16 mi
Ophthalmology
NPI 1417375775
3100 N MACARTHUR BLVD
Irving, TX 75062
(972) 258-6400
✔ PECOS✔ Accepts Medicare21 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881671717
4343 N JOSEY LN
Carrollton, TX 75010
(972) 394-2412
✔ Accepts Medicare26 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1003110560
13601 PRESTON RD 1000W
Dallas, TX 75240
(972) 715-5000
✔ Accepts Medicare29 mi
Optometry
NPI 1588191886
3060 COMMUNICATIONS PKWY STE 205
Plano, TX 75093
(214) 754-0000
✔ PECOS✔ Accepts Medicare29 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1679687685
6606 LBJ FWY STE 200
Dallas, TX 75240
(972) 715-5000
30 mi
Optometry
NPI 1508874520
2801 LEMMON AVE STE 400
Dallas, TX 75204
(214) 754-0000
✔ PECOS✔ Accepts Medicare30 mi
Ophthalmology
NPI 1912933581
2801 LEMMON AVE STE 400
Dallas, TX 75204
(214) 754-0000
✔ PECOS✔ Accepts Medicare30 mi
Ophthalmology
NPI 1942239272
2801 LEMMON AVE STE 400
Dallas, TX 75204
(214) 754-0000
✔ PECOS✔ Accepts Medicare30 mi
Optometry
NPI 1073521092
2801 LEMMON AVE SUITE 400
Dallas, TX 75204
(214) 754-0000
✔ PECOS✔ Accepts Medicare30 mi
Ophthalmology
NPI 1023044658
2801 LEMMON AVE STE 400
Dallas, TX 75204
(214) 754-0000
✔ PECOS✔ Accepts Medicare30 mi
Optometry
NPI 1770733099
5315 N CENTRAL EXPY
Dallas, TX 75205
(214) 750-1962
✔ PECOS31 mi
Optometry
NPI 1285660654
11442 N. CENTRAL EXPRESSWAY
Dallas, TX 75243
(214) 754-0000
✔ PECOS✔ Accepts Medicare31 mi
Ophthalmology
NPI 1205295359
11442 N CENTRAL EXPY
Dallas, TX 75243
(214) 220-3937
✔ PECOS✔ Accepts Medicare31 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1689787004
8200 WALNUT HILL LN
Dallas, TX 75231
(214) 345-7175
✔ Accepts Medicare32 mi
See all 48 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2239713

Key-Whitman Eye Center · Fort Worth, TX
Active · expires Oct 12, 2027
CLIA Number45D2239713
Laboratory TypePhysician Office
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorRonald M. Barke
Laboratory Phone(817) 635-0206
Laboratory LocationKey-Whitman Eye Center3400 N Tarrant Pkwy Suite 110, Fort Worth, TX 76177
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Key-Whitman Optical Center carries, from the Medicare DMEPOS supplier directory.

Key-Whitman Optical Center

DMEPOS supplier · Dallas, TXOperated by Jw Eye Associates, PLLC
✔

Accepts Medicare assignment

Key-Whitman Optical Center agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20627267
Medicare Participant SinceSeptember 1, 2000
Supplier Location11442 N Central ExpyDallas, TX 75243
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jw Eye Associates, PLLC's NPI number?

The NPI number for Jw Eye Associates, PLLC is 1033883517. It was assigned to this organization in the NPPES registry on August 6, 2021. The provider is doing business as Key-Whitman Eye Center.

Where is Jw Eye Associates, PLLC located?

Jw Eye Associates, PLLC is located at 3400 N Tarrant Pkwy Ste 110, Fort Worth, TX 76177. The listed phone number is (214) 754-0000.

What is Jw Eye Associates, PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jw Eye Associates, PLLC enrolled in Medicare?

Yes. Jw Eye Associates, PLLC is registered in the Medicare PECOS enrollment system.

When is Jw Eye Associates, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jw Eye Associates, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 48 clinicians in 3 Medicare specialties reassign their Medicare billing to Jw Eye Associates, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (23), Ophthalmology (18) and Certified Registered Nurse Anesthetist (CRNA) (7). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jw Eye Associates, PLLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Key-Whitman Optical Center accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Jw Eye Associates, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2239713) is associated with this NPI, valid through October 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jw Eye Associates, PLLC accept?

Health plans from Cigna Healthcare list Jw Eye Associates, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jw Eye Associates, PLLC was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.