Organization Active NPI

Vision Care Group of Texas, PLLC

  • Optometrist
  • Little Elm, TX
National Provider Identifier
1104463181
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION CARE GROUP OF TEXAS, PLLC
Practice address
3010 FM 423 Ste 200
Little Elm, TX 75068-6705
Phone
(469) 786-2020
Fax
(469) 609-6316
NPI assigned
Dec 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Dr. Krystal Hoover, ODNPI 1700364692
Title
Optometrist
Phone
(940) 395-6879

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

3010 FM 423 Ste 200
Little Elm, TX 75068-6705

Mailing address

PO Box 266
Prosper, TX 75078-0266

Other names 1

  • Eyes on Little Elm Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201005000351 TX Part B Supplier - Clinic/Group Practice 4789003146 Receives reassigned benefits from 1 practitioner
Practice locations: Little Elm, TX

National Provider Directory

National Provider Directory

Locations

3010 FM 423
Ste 200
Little Elm, TX 75068
Phone (469) 786-2020

Practitioners & affiliated clinicians

Practitioners 1

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": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1104463181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750780266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 FM 423 STE 200",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686705",
            "telephone_number": "469-786-2020",
            "fax_number": "469-609-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CARE GROUP OF TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "940-395-6879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes on Little Elm",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eyes on Little Elm",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.