Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pediatric Ophthalmology PA

Organization Ophthalmology Physician · NPI 1619195047

Pediatric Ophthalmology PA is an Ophthalmology Physician in Grapevine, Texas. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1631 Lancaster Dr # 200
Grapevine, TX 76051-3585
Phone: (817) 329-5433
Fax: (817) 329-5532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X

Record details

NPI number1619195047
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Stager — President · (214) 369-6434
NPI enumeratedApril 23, 2007
Last updated in NPPESSeptember 8, 2010
Mailing address8222 Douglas Ave, Ste 400, Dallas, TX 75225-5923

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