Individual provider Active NPI

Lindsey Willis Suelflow, O.D.

  • Optometrist
  • Frisco, TX
National Provider Identifier
1083979546
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7970T Issued in TX
Practice address
5858 W Main St
Suite 110
Frisco, TX 75033-4193
Phone
(469) 633-9339
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7970T TX Primary

Addresses

Primary practice location

5858 W Main St
Suite 110
Frisco, TX 75033-4193

Mailing address

5858 W Main St
Suite 110
Frisco, TX 75033-4193
Phone (469) 633-9339

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
I20121026000557 TX Practitioner - Optometry 1658521679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LWS Eyecare PAGroup PAC ID 9830494293, 3 clinicians

Practice addresses (Care Compare)

5858 Main St
Suite 110
Frisco, TX 75033-4502
Phone (469) 633-9339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7970TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
LWS Eyecare, P.a. CurrentSince Dec 31, 2015 Accepting new patients
LWS Eyecare PA Optometrist Current Accepting new patients
Eye Expressions Optometrist PastSince Aug 13, 2012 Accepting new patients

Locations

5858 Main St
Ste 110
Frisco, TX 75033
Phone (469) 633-9339

Organizations & group practices 3

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1083979546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 W MAIN ST",
            "address_2": "SUITE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334193",
            "telephone_number": "469-633-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 W MAIN ST",
            "address_2": "SUITE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334193",
            "telephone_number": "469-633-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUELFLOW",
        "first_name": "LINDSEY",
        "middle_name": "WILLIS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7970T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.