Individual provider Active NPI

Christina M Poignard, OD

  • Optometrist
  • Southlake, TX
National Provider Identifier
1003548991
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10438 Issued in TX
Practice address
1251 E Southlake Blvd Ste 331
Southlake, TX 76092-6478
Phone
(817) 663-1770
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10438 TX Primary

Addresses

Primary practice location

1251 E Southlake Blvd Ste 331
Southlake, TX 76092-6478

Mailing address

8324 Edgepoint TRL
Hurst, TX 76053-7447
Phone (817) 846-2340

Other practice location 1

9549 Sage Meadow Trl
Fort Worth, TX 76177-8595
Phone (817) 741-1073

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
I20240412000011 TX Practitioner - Optometry 2567801434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Western University of Health Sciences College of Dental Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
2020 EyedrGroup PAC ID 9537457189, 11 clinicians

Practice addresses (Care Compare)

1251 E Southlake Blvd
Suite 331
Southlake, TX 76092-6478
Phone (630) 452-6290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
2020 Eyedr Optometrist CurrentSince Mar 1, 2024 Accepting new patients

Locations

1101 Melbourne Rd
Ste 3002
Hurst, TX 76053
Phone (817) 284-0798

1251 E Southlake Blvd
Ste 331
Southlake, TX 76092
Phone (817) 310-0289

Networks

  • TX HMO D-SNP
  • NM HMO C-SNP
  • TX HMO

Organizations & group practices 1

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": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1003548991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 EDGEPOINT TRL",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760537447",
            "telephone_number": "817-846-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 E SOUTHLAKE BLVD STE 331",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926478",
            "telephone_number": "817-663-1770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9549 Sage Meadow Trl",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761778595",
            "country_code": "US",
            "telephone_number": "817-741-1073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POIGNARD",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.