Organization Active NPI

Integrative Eye Partners PLLC

  • Optometrist
  • McKinney, TX
National Provider Identifier
1063975951
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
INTEGRATIVE EYE PARTNERS PLLC
Practice address
6675 S Custer Rd Ste 600
McKinney, TX 75070-1840
Phone
(956) 457-4300
Fax
(469) 638-5285
NPI assigned
Apr 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Luis Daniel RojasNPI 1508247644
Title
OD Member
Phone
(956) 457-4300

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6675 S Custer Rd Ste 600
McKinney, TX 75070-1840

Mailing address

6675 S Custer Rd Ste 600
McKinney, TX 75070-1840
Phone (469) 317-2020

Other names 1

  • DeNovo Eye Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200325001272 TX Part B Supplier - Clinic/Group Practice 7810325859 Receives reassigned benefits from 3 practitioners
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Locations

11500 State Highway 121
Ste 820
Frisco, TX 75035

6675 S Custer Rd
Ste 600
McKinney, TX 75070
Phone (469) 317-2020

Practitioners & affiliated clinicians

Practitioners 3

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": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1063975951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 S CUSTER RD STE 600",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701840",
            "telephone_number": "469-317-2020",
            "fax_number": "469-638-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 S CUSTER RD STE 600",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701840",
            "telephone_number": "956-457-4300",
            "fax_number": "469-638-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE EYE PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OD MEMBER",
        "authorized_official_telephone_number": "956-457-4300"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeNovo Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 4, 2021; 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.