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

Dr. Ilyse Samantha Kornblau, MD

Individual provider Ophthalmology Physician · NPI 1720407372

Dr. Ilyse Samantha Kornblau, MD is an Ophthalmology Physician in Dallas, Texas. Licensed in Florida, Tennessee and Texas. Registered with an NPI since 2014.

Licensed in
FL, TN, TX
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 S Lancaster Rd
Dallas, TX 75216-7167
Phone: (214) 742-8387
Fax: (214) 857-2828
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Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 59116 (TN)
Ophthalmology Physician Taxonomy 207W00000X · Licence HSE26017 (FL)
Ophthalmology Physician Taxonomy 207W00000X · Licence BP20054251 (TX)

Record details

NPI number1720407372
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2014
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024

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