Organization Active NPI

Patterson Optical, P.a.

  • Optometrist
  • Sherman, TX
National Provider Identifier
1164642138
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4133TG Issued in TX
Legal business name
PATTERSON OPTICAL, P.A.
Practice address
4180 Town Ctr
Sherman, TX 75092-2567
Phone
(903) 868-2020
Fax
(903) 813-1426
NPI assigned
May 1, 2007
Last updated
Mar 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PATTERSON OPTICAL, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Dennis G Patterson, O.D.NPI 1356357164
Title
President
Phone
(903) 868-2020

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
Optometrist 152W00000X 4133TG TX Primary

Addresses

Primary practice location

4180 Town Ctr
Sherman, TX 75092-2567

Mailing address

4180 Town Ctr
Sherman, TX 75092-2567
Phone (903) 868-2020

Other identifiers 1

IdentifierTypeStateIssuer
019497902MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040615000933 TX Part B Supplier - Clinic/Group Practice 2668456989 Receives reassigned benefits from 6 practitioners
Practice locations: Sherman, TX

National Provider Directory

National Provider Directory
Part of
Patterson Optical PA

Locations

4180 Town Ctr
Sherman, TX 75092
Phone (903) 868-2020

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1164642138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 TOWN CTR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750922567",
            "telephone_number": "903-868-2020",
            "fax_number": "903-813-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 TOWN CTR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750922567",
            "telephone_number": "903-868-2020",
            "fax_number": "903-813-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSON OPTICAL, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATTERSON OPTICAL, P.A.",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-868-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4133TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019497902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.