EYE PLASTIC SURGERY ASSOCIATES PA
NPI 1124165808
Ophthalmology in Dallas, TX

Active since January 31, 2007
7777 FOREST LANE, SUITE C-710, DALLAS, TX 75230(972) 566-2020(972) 566-5454 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 2, 2022, Apr 11, 2019 (2 updates tracked since 2019).

About Eye Plastic Surgery Associates Pa NPPES

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

EYE PLASTIC SURGERY ASSOCIATES PA (NPI 1124165808) is a healthcare organization registered as an ophthalmology in Dallas, Texas and active in the NPI registry since January 2007. The organization lists Mark Lawrence Mazow, Md, as its authorized official.

NPPES Registry Identity

NPI1124165808
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEYE PLASTIC SURGERY ASSOCIATES PA
Location Address7777 FOREST LANE, SUITE C-710Dallas, TX 75230-2571
Mailing Address7777 Forest Lane, Suite C-710Dallas, TX 75230-2571 · (972) 566-2020 · Fax (972) 566-5454
Fax(972) 566-5454
Organization SubpartNo
Authorized OfficialMark Lawrence MazowMd · (972) 566-2020
Enumeration DateJanuary 31, 2007
Last NPPES UpdateNovember 2, 20222 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1124165808 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.
7777 FOREST LANE, Dallas, TX 75230

Other Identifiers 2

Medicaid152936401TX
Other00802TTX · Ptan

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eye Plastic Surgery Associates Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eye Plastic Surgery Associates PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1639173669
3705 MEDICAL PKWY STE 120
Austin, TX 78705
(512) 458-2141
✔ PECOS✔ Accepts Medicare188 mi

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

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 Eye Plastic Surgery Associates PA's NPI number?

The NPI number for Eye Plastic Surgery Associates PA is 1124165808. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Eye Plastic Surgery Associates PA located?

Eye Plastic Surgery Associates PA is located at 7777 Forest Lane Suite C-710, Dallas, TX 75230. The listed phone number is (972) 566-2020.

What is Eye Plastic Surgery Associates PA's specialty?

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

Is Eye Plastic Surgery Associates PA enrolled in Medicare?

Yes. Eye Plastic Surgery Associates PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eye Plastic Surgery Associates PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Eye Plastic Surgery Associates PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Eye Plastic Surgery Associates PA accept?

Health plans from Molina Healthcare list Eye Plastic Surgery Associates PA 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 Eye Plastic Surgery Associates PA was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.