Andreane Boudreault Fagala, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7393T Issued in TX

Practice address

1301 W Campbell Rd
Richardson, TX 75080-2815

Phone

(972) 669-9229

Fax

(972) 669-9229

NPI assigned

Jul 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stokol Fagala Optometry PLLCGroup PAC ID 5092106815, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

7.5 of 100Reported as individual

Quality

15

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stokol Fagala Optometry PLLC

  • Optometrist
  • Richardson, TX
  • NPI 1821754433
  Medicare reassignment Care Compare group NPD
• Arnold M Stokol, OD

  • Optometrist
  • Richardson, TX
  • NPI 1336362714
  Medicare reassignment
• Arnold M Stokol OD

  • Optometrist
  • Richardson, TX
  • NPI 1093883944
  NPD (past)

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1124258959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W CAMPBELL RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802815",
            "telephone_number": "972-669-9229",
            "fax_number": "972-669-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W CAMPBELL RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802815",
            "telephone_number": "972-669-9229",
            "fax_number": "972-669-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGALA",
        "first_name": "ANDREANE",
        "middle_name": "BOUDREAULT",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7393T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye and Vision Management
• Ez Life Medical Supplies
• Pearl Ezegrim, PMHNP-BC
• Kalavalli Ezekiel, MD
• Precious Amarachi Ezeoma
• Justine Faghihifar, OTR
• Bradley Kent Fairchild, LPC
• Ali Allen Faiz, D.D.S.
• Leigh Ann Falls, PHD LPCS RPTS NCC
• Folake Familusi, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.

Verify at the official NPI Registry.