Prosper Vision PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4019TG Issued in TX

Legal business name

PROSPER VISION PLLC

Doing business as

Eye Gallery

Practice address

1170 N Preston Rd
Suite 120
Prosper, TX 75078-9031

Phone

(214) 305-4020

NPI assigned

Apr 26, 2017

Organization subpart

No

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

Authorized official

Name

Greg Harrison, OD

Title

President

Phone

(214) 693-8040

Specialties & licenses 1

Addresses

Other names 1

• Eye Gallery Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim Tien Blois, O.D.

  • Optometrist
  • Denton, TX
  • NPI 1932581253
  Medicare reassignment Care Compare group NPD
• Gregory Wade Harrison, O.D.

  • Optometrist
  • Plano, TX
  • NPI 1225071343
  Medicare reassignment Care Compare group NPD
• Tiffany A. Doan, O.D.

  • Optometrist
  • Dallas, TX
  • NPI 1407119928
  Medicare reassignment NPD

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1023543113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 N PRESTON RD",
            "address_2": "SUITE 120",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789031",
            "telephone_number": "214-305-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 N PRESTON RD",
            "address_2": "SUITE 120",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789031",
            "telephone_number": "214-305-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-693-8040",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4019TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Gallery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prosper Primary Care and Wellness PC (Prosper Health Primary, Urgent & Wellness)
• Prosper Smile Studio PLLC (Prosper Smile Studio)
• Prosper Smiles PLLC
• Prosper Star Dental Company PLLC
• Prosper Vision Associates, PLLC
• Prosperity Place - Where All Things Are Possible
• Prosperous Therapy, P.C
• Brittney Pryor Craig, MD
• Ahmad E Qawasmi, MD
• Qnpham, PLLC (Eyedeal Eyecare)

• Optometrist in Prosper, TX
• Providers in Prosper, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.