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

Active since August 06, 2021CLIA Certified · 2 labs
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: August 16, 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 2 active CLIA laboratory certificates 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

CLIA Laboratory Certificates CMS CLIA 2

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.

Certificate of Waiver 45D2050343

Jw Eye Associates, PLLC D/B/A Key-Whitman Eye Center · Dallas, TX
Active · expires Nov 26, 2026
CLIA Number45D2050343
Laboratory TypePhysician Office
Certificate Effective DateNovember 27, 2024
Certificate Expiration DateNovember 26, 2026
Laboratory DirectorDaniel Chambers
Laboratory Phone(214) 754-0000
Laboratory LocationJw Eye Associates, PLLC D/B/A Key-Whitman Eye Center11442 Central Expressway, Dallas, TX 75243
CLIA data matches this NPI record on: Name Phone
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.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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.