Organization Active NPI

Perspective Eye Care, PLLC

  • Optometrist
  • Allen, TX
National Provider Identifier
1164575445
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
04789TG Issued in TX
Legal business name
PERSPECTIVE EYE CARE, PLLC
Practice address
1110 North Greenville Ave
Allen, TX 75002
Phone
(972) 396-0006
Fax
(972) 396-0004
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Authorized official

Name
Greg Coronado, O.D.NPI 1750491593
Title
Owner
Phone
(972) 396-0006

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 04789TG TX Primary

Addresses

Primary practice location

1110 North Greenville Ave
Allen, TX 75002

Mailing address

1110 North Greenville Ave
Allen, TX 75002
Phone (972) 396-0006

Other identifiers 1

IdentifierTypeStateIssuer
DG1313OtherTXMEDICARE RAILROAD PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070612000620 TX Part B Supplier - Clinic/Group Practice 7113025313 Receives reassigned benefits from 2 practitioners
Practice locations: Allen, TX

National Provider Directory

National Provider Directory

Locations

206 N Greenville Ave
Ste 500
Allen, TX 75002
Phone (972) 396-0006

1110 N Greenville Ave
Allen, TX 75002
Phone (972) 396-0006

Practitioners & affiliated clinicians

Practitioners 2

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1164575445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 NORTH GREENVILLE AVE",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75002",
            "telephone_number": "972-396-0006",
            "fax_number": "972-396-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 NORTH GREENVILLE AVE",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75002",
            "telephone_number": "972-396-0006",
            "fax_number": "972-396-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSPECTIVE EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "CORONADO",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-396-0006",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "04789TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "DG1313",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 19, 2008; 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.