Active NPI
Carey A Patrick, OD
- Optometrist
- Allen, TX
National Provider Identifier
1104824242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 06243TG
- Practice address
- 1546 Stacy Rd
Suite 100
Allen, TX 75002-8726 - Phone
- (214) 383-5400
- Fax
- (214) 383-5203
- NPI assigned
- Jul 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 6243TG | TX | |
| Pediatric Optometrist | 152WP0200X | 6243TG | TX | |
| Sports Vision Optometrist | 152WS0006X | 6243TG | TX | |
| Optometrist | 152W00000X | 06243TG | TX | Primary |
Addresses
Primary practice location
1546 Stacy Rd
Suite 100
Allen, TX 75002-8726
Mailing address
1546 Stacy Rd
Suite 100
Allen, TX 75002-8726
Phone (214) 383-5400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11411072 | Other | CAQH | |
| 162828101 | Medicaid | TX |
Other names 1
- Carey S Aston
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1546 Stacy Rd
Suite 100
Allen, TX 75002-8721
Phone (214) 383-5400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06243TG | TX | MD | Optometrist |
| 6243TG | TX | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Eyecare, P.a. | Optometrist | Current | Accepting new patients |
| Eyecare Professionals, PA | Optometrist | Past | Accepting new patients |
Locations
1546 Stacy Rd
Ste 100
Allen, TX 75002
Phone (214) 226-1538
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Vision Source Missouri City
- Optometrist
- Missouri City, TX
- NPI 1609047547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1104824242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1546 STACY RD",
"address_2": "SUITE 100",
"city": "ALLEN",
"state": "TX",
"postal_code": "750028726",
"telephone_number": "214-383-5400",
"fax_number": "214-383-5203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1546 STACY RD",
"address_2": "SUITE 100",
"city": "ALLEN",
"state": "TX",
"postal_code": "750028726",
"telephone_number": "214-383-5400",
"fax_number": "214-383-5203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "CAREY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "6243TG",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "TX",
"license": "6243TG",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "TX",
"license": "6243TG",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "06243TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11411072",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162828101",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAREY",
"last_name": "ASTON",
"middle_name": "S",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.