Individual provider Active NPI

Kasey Warren, O.D.

  • Optometrist
  • Kyle, TX
National Provider Identifier
1003001298
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7109TG Issued in TX
Practice address
5401 South FM 1626
Suite 135
Kyle, TX 78640
Phone
(281) 216-8193
Fax
(512) 268-3096
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7109TG TX Primary

Addresses

Primary practice location

5401 South FM 1626
Suite 135
Kyle, TX 78640

Mailing address

5401 South FM 1626
Suite 135
Kyle, TX 78640
Phone (512) 268-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080509000143 TX Practitioner - Optometry 2860571270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gainesville Eye CareGroup PAC ID 8224319322, 3 clinicians
Sanger Eye Care, PLLCGroup PAC ID 9032439138, 2 clinicians

Practice addresses (Care Compare)

311 E California St
Gainesville, TX 76240-4036
Phone (940) 668-7500

410 Bolivar St
Sanger, TX 76266-8961
Phone (940) 458-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7109TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Eye Care Optometrist CurrentSince Sep 1, 2016 Accepting new patients
Sanger Eye Care, PLLC Optometrist CurrentSince Apr 1, 2015 Accepting new patients
Tso of Gainesville Inc Optometrist PastSince Mar 11, 2009 Accepting new patients
Dolbee & Associates, PLLC Optometrist PastSince Mar 6, 2012 Accepting new patients

Locations

311 E California St
Gainesville, TX 76240
Phone (940) 668-7254

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1003001298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SOUTH FM 1626",
            "address_2": "SUITE 135",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "78640",
            "telephone_number": "512-268-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 SOUTH FM 1626",
            "address_2": "SUITE 135",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "78640",
            "telephone_number": "281-216-8193",
            "fax_number": "512-268-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "KASEY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7109TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.