Individual provider Active NPI

Paisley Maclennan, OD

  • Optometrist
  • Gainesville, TX
National Provider Identifier
1124861307
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11202 Issued in TX
Practice address
2020 W Highway 82
Gainesville, TX 76240-2051
Phone
(940) 612-2020
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11202 TX Primary

Addresses

Primary practice location

2020 W Highway 82
Gainesville, TX 76240-2051

Mailing address

PO Box 416
Lindsay, TX 76250-0416
Phone (940) 284-3817

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
I20240807000420 TX Practitioner - Optometry 7810434974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
York Eye Associates, P.C.Group PAC ID 9234153651, 4 clinicians

Practice addresses (Care Compare)

2020 W Hwy 82
Gainesville, TX 76240-2051
Phone (940) 612-0085

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11202TXMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
York Eye Associates, P.C. Optometrist CurrentSince Jun 10, 2024 Accepting new patients

Locations

2020 W Highway 82
Gainesville, TX 76240
Phone (940) 612-0085

Organizations & group practices 1

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": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1124861307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "LINDSAY",
            "state": "TX",
            "postal_code": "762500416",
            "telephone_number": "940-284-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W HIGHWAY 82",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402051",
            "telephone_number": "940-612-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLENNAN",
        "first_name": "PAISLEY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

Verify at the official NPI Registry.