DR. ILYSE SAMANTHA KORNBLAU MD
NPI 1720407372
Ophthalmology in Dallas, TX

Q: What is Ilyse Kornblau's NPI number?

The NPI number for Ilyse Kornblau is 1720407372. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Q: What is Ilyse Kornblau's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ilyse Kornblau was last updated on April 24, 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.

Active since April 10, 2014

4500 S LANCASTER RD, DALLAS, TX 75216(214) 742-8387(214) 857-2828 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 24, 2024, Jul 26, 2019, Jul 3, 2018 and 2 more (5 updates tracked since 2015).

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About Dr. Ilyse Samantha Kornblau Md NPPES

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

DR. ILYSE SAMANTHA KORNBLAU MD (NPI 1720407372) is an individual ophthalmology provider in Dallas, Texas, licensed in Tennessee (59116) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1720407372

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDR. ILYSE SAMANTHA KORNBLAUCredential: MD

Location Address4500 S LANCASTER RDDallas, TX 75216-7167

Mailing Address4500 S Lancaster RdDallas, TX 75216-7167 · (214) 742-8387 · Fax (214) 857-2828

Phone(214) 742-8387

Fax(214) 857-2828

Sole ProprietorNo

Enumeration DateApril 10, 2014

Last NPPES UpdateApril 24, 20245 updates tracked since enumeration

NPPES CertifiedApril 24, 2024

✔ NPI 1720407372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in TN · 59116✔ Licensed in FL · HSE26017✔ Licensed in TX · BP20054251

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.

4500 S LANCASTER RD, Dallas, TX 75216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 20

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

DALLAS VETERANS ADMINISTRATION MEDICAL CENTER

General Acute Care Hospital