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PEDIATRIC OPHTHALMOLOGY PA
NPI 1619195047
Ophthalmology in Grapevine, TX

Active since April 23, 2007
1631 LANCASTER DR, # 200, GRAPEVINE, TX 76051(817) 329-5433(817) 329-5532 Get Directions Write a Review

NPPES record last updated: September 8, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Ophthalmology Pa NPPES

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

PEDIATRIC OPHTHALMOLOGY PA (NPI 1619195047) is a healthcare organization registered as an ophthalmology in Grapevine, Texas and active in the NPI registry since April 2007. The organization lists David R Stager, President, as its authorized official.

NPPES Registry Identity

NPI1619195047
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NamePEDIATRIC OPHTHALMOLOGY PA
Location Address1631 LANCASTER DR, # 200Grapevine, TX 76051-3585
Mailing Address8222 Douglas Ave, Ste 400Dallas, TX 75225-5923 · (214) 369-6434 · Fax (214) 696-6273
Phone(817) 329-5433
Fax(817) 329-5532
Organization SubpartNo
Authorized OfficialDavid R StagerPresident · (214) 369-6434
Enumeration DateApril 23, 2007
Last NPPES UpdateSeptember 8, 2010
✔ NPI 1619195047 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.

1631 LANCASTER DR, Grapevine, TX 76051
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Other Identifiers 2

Medicaid130345509TX
Medicare PIN00486RTX

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

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA ANN DECKER PA
Physician Assistant
1631 LANCASTER DR, SUITE 150
GRAPEVINE, TX 76051
Tarrant County (817) 251-9080
DR. JOHN TONG MD
Ophthalmology
1631 LANCASTER DR, STE 200
GRAPEVINE, TX 76051
Tarrant County (817) 329-5433
CKW GROUP, ADVANCED VENOUS THERAPY
Phlebology
1631 LANCASTER DR, SUITE240
GRAPEVINE, TX 76051
Tarrant County (817) 510-5000
TOMMIE LYNN COOK M.S., RPH
Pharmacist (Oncology)
1631 LANCASTER DR, SUITE 150
GRAPEVINE, TX 76051
Tarrant County (817) 310-7027
MRS. DEBBIE LEA ROSO NP
Nurse Practitioner (Women's Health)
1631 LANCASTER DR
GRAPEVINE, TX 76051
Tarrant County (817) 865-5300
MS. ANGELA VODRASKA APRN
Nurse Practitioner (Family)
1631 LANCASTER DR, STE. 150
GRAPEVINE, TX 76051
Tarrant County (817) 251-9080
ONCOLOGY PHARMACY SERVICES, INC.
Pharmacy (Community/Retail Pharmacy)
1631 LANCASTER DR, SUITE 150
GRAPEVINE, TX 76051
Tarrant County (817) 310-7027
TEXAS PREMIER MEDICINE
Internal Medicine
1631 LANCASTER DR
GRAPEVINE, TX 76051
Tarrant County (214) 232-5123

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 Pediatric Ophthalmology PA's NPI number?

The NPI number for Pediatric Ophthalmology PA is 1619195047. It was assigned to this organization in the NPPES registry on April 23, 2007.

Where is Pediatric Ophthalmology PA located?

Pediatric Ophthalmology PA is located at 1631 Lancaster Dr # 200, Grapevine, TX 76051. The listed phone number is (817) 329-5433.

What is Pediatric Ophthalmology PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Pediatric Ophthalmology PA was last updated on September 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.