Pediatric Ophthalmology PA
NPI 1619195047 · Ophthalmology Physician · Grapevine, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pediatric Ophthalmology PA is a Ophthalmology Physician organization in Grapevine, TX (NPI 1619195047).
Provider details
- NPI number
- 1619195047
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Stager, President(214) 369-6434
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2010-09-08
Frequently asked questions
- What is Pediatric Ophthalmology PA's NPI number?
- Pediatric Ophthalmology PA's National Provider Identifier (NPI) is 1619195047, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Ophthalmology PA?
- Pediatric Ophthalmology PA is classified in the NPPES registry as Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Pediatric Ophthalmology PA located?
- Pediatric Ophthalmology PA's practice location on file with NPPES is 1631 Lancaster Dr, Grapevine, TX 76051-3585.
- What is Pediatric Ophthalmology PA's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Ophthalmology PA is (817) 329-5433.
- Does Pediatric Ophthalmology PA accept Medicare?
- Pediatric Ophthalmology PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pediatric Ophthalmology PA?
- The authorized official listed on Pediatric Ophthalmology PA's NPPES record is David Stager, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Ophthalmology PA's NPI active?
- Yes — Pediatric Ophthalmology PA's NPI (1619195047) is active in the NPPES registry as of the last update on 2010-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.