NPIMap

Organization Active NPI

Little Elm Eye Care, P.a.

  • Optometrist
  • Little Elm, TX
National Provider Identifier
1154546018
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5926TG Issued in TX
Legal business name
LITTLE ELM EYE CARE, P.A.
Practice address
1200 E Eldorado Pkwy
Suite 100
Little Elm, TX 75068-5582
Phone
(972) 292-0900
Fax
(972) 292-0908
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Dr. Leslie Ann Bubela, O.D.NPI 1750377982
Title
Owner
Phone
(972) 292-0900

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 5926TG TX Primary

Addresses

Primary practice location

1200 E Eldorado Pkwy
Suite 100
Little Elm, TX 75068-5582

Mailing address

1200 E Eldorado Pkwy
Suite 100
Little Elm, TX 75068-5582
Phone (972) 292-0900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040614001333 TX Part B Supplier - Clinic/Group Practice 8022092576 Receives reassigned benefits from 4 practitioners
Practice locations: Little Elm, TX

National Provider Directory

National Provider Directory

Locations

1200 E Eldorado Pkwy
#100
Little Elm, TX 75068
Phone (972) 292-0900

1200 E Eldorado Pkwy
Ste 100
Little Elm, TX 75068
Phone (972) 292-0900

200 E Eldorado Pkwy
Ste 100
Little Elm, TX 75068

Practitioners & affiliated clinicians

Practitioners 4

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1154546018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E ELDORADO PKWY",
            "address_2": "SUITE 100",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685582",
            "telephone_number": "972-292-0900",
            "fax_number": "972-292-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E ELDORADO PKWY",
            "address_2": "SUITE 100",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685582",
            "telephone_number": "972-292-0900",
            "fax_number": "972-292-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ELM EYE CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "BUBELA",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-292-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5926TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 23, 2015; 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.