Organization Active NPI

Richard a. Sylvester M.a.T., O.D., P.a

  • Optometrist
  • Frisco, TX
National Provider Identifier
1154631299
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T5346 Issued in TX
Legal business name
RICHARD A. SYLVESTER M.A.T., O.D., P.A
Practice address
4300 Legacy Dr
Suite 105
Frisco, TX 75034-0813
Phone
(972) 334-9944
Fax
(972) 334-9011
NPI assigned
Oct 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Dr. Richard A Sylvester, OD , MAT, PANPI 1376688507
Title
President
Phone
(972) 334-9944

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X T5346 TX Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X T5346 TX
Occupational Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WX0102X T5346 TX

Addresses

Primary practice location

4300 Legacy Dr
Suite 105
Frisco, TX 75034-0813

Mailing address

4300 Legacy Dr
Suite 105
Frisco, TX 75034-0813
Phone (972) 334-9944

Other names 1

  • Crystal Clear Image Optical Boutique Doing business as

National Provider Directory

National Provider Directory

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": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1154631299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 LEGACY DR",
            "address_2": "SUITE 105",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340813",
            "telephone_number": "972-334-9944",
            "fax_number": "972-334-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LEGACY DR",
            "address_2": "SUITE 105",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340813",
            "telephone_number": "972-334-9944",
            "fax_number": "972-334-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. SYLVESTER M.A.T., O.D., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "SYLVESTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-334-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD , MAT, PA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "T5346",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "T5346",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "TX",
            "license": "T5346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Clear Image Optical Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.