Egan Eye Associates, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

8419TG Issued in TX

Legal business name

EGAN EYE ASSOCIATES, PLLC

Doing business as

Egan Eye Associates

Practice address

355 Stonebrook Parkway
Frisco, TX 75034

Phone

(214) 432-4370

NPI assigned

Feb 28, 2018

Organization subpart

No

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

Authorized official

Name

Katherine Egan, OD

Title

Owner

Phone

(214) 507-4547

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Egan Eye Associates Doing business as

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1053812685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 RIVERSDALE RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347611",
            "telephone_number": "214-432-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 STONEBROOK PARKWAY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "214-432-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGAN EYE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-507-4547",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8419TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912301342",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Egan Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Egan Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.