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Deactivated NPI 1508893439 Deactivated / Inactive NPI Male Practitioner

Dr. James Daniel Penick , OD

Optometrist • Dallas, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. James Penick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 27, 2006
NPI Deactivation Date May 09, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. James Penick, OD was a registered Optometrist practicing in Dallas, TX. Throughout an active medical career spanning 11 years, Dr. Penick provided care at the practice location at 6500 GREENVILLE AVE until profile deactivation on 2017-05-09.

Practice Location & Contact Primary Location

Practice Address

6500 Greenville Ave
Ste 150

Dallas, TX 752061014

Telephone 2146921901
Fax 2146921930
Associated Practice Facility / Clinic
🏢 Richard G Miller Dds Pa Facility NPI 1922119262

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.8 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
225 Specialists

Practicing in Dallas, TX (5156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 01870T

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Larry White , DDS, MSD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1134358526

Doctor of Dental Surgery, MSD

NPI 1275250292

Master of Arts, Licensed Professional Counselor

Dr. Thomas Gibbons , DDS

Dentist - General Practice

NPI 1487675880

Doctor of Dental Surgery

Dr. Richard Miller , DDS

Dentist - General Practice

NPI 1912018243

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 09, 2017

Record deactivated on May 09, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 6500 GREENVILLE AVE, STE 150, DALLAS, TX 752061014 (Tel: 2146921901)

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Updated Business Mailing Address July 08, 2007

Registered at 6500 GREENVILLE AVE, STE 150, DALLAS, TX 752061014 (Tel: 2146921901)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES PENICK, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #01870T in TX)

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Initial NPI Registration & Enumeration June 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508893439
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2006
Last Update: July 08, 2007
Deactivation Date: May 09, 2017

Mailing Address

6500 Greenville Ave, Ste 150

Dallas, TX 752061014

Phone: 2146921901

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.