Organization Active NPI

Alan H Upchurch OD PA

  • Corneal and Contact Management Optometrist
  • McKinney, TX
National Provider Identifier
1043485451
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
3701-TG Issued in TX
Legal business name
ALAN H UPCHURCH OD PA
Practice address
3705 W Eldorado Pkwy
McKinney, TX 75070-4229
Phone
(972) 542-0331
Fax
(972) 548-1102
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Alan H Upchurch, ODNPI 1427043884
Title
Owner
Phone
(972) 542-0331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 3701-TG TX Primary

Addresses

Primary practice location

3705 W Eldorado Pkwy
McKinney, TX 75070-4229

Mailing address

3705 Eldorado Pkwy
McKinney, TX 75070-4229
Phone (972) 542-0331

Other names 2

  • Alan H Upchurch O D PC Former legal business name
  • Alpha Optical Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930088175 TX DME Supplier - Physician - Optometrist 0749307205 Practice locations: McKinney, TX
O20120604000064 TX Part B Supplier - Clinic/Group Practice 0749307205 Receives reassigned benefits from 1 practitioner
Practice locations: McKinney, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Alan H Upchurch OD PA3705 Eldorado Pkwy, McKinney, TX 75070-4229(972) 542-0331 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

3705 Eldorado Pkwy
McKinney, TX 75070
Phone (972) 542-0331

3705 Eldorado Pkwy
#H
McKinney, TX 75070
Phone (972) 542-0331

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1043485451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 ELDORADO PKWY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704229",
            "telephone_number": "972-542-0331",
            "fax_number": "972-548-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 W ELDORADO PKWY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704229",
            "telephone_number": "972-542-0331",
            "fax_number": "972-548-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN H UPCHURCH OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "UPCHURCH",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-542-0331",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "3701-TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alan H Upchurch O D PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Alpha Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.