Organization Active NPI

Eye Care Avenue, PC

  • Optometrist
  • Frisco, TX
National Provider Identifier
1164718599
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6837TG Issued in TX
Legal business name
EYE CARE AVENUE, PC
Practice address
5000 Eldorado Pkwy
Suite 310
Frisco, TX 75034-8695
Phone
(214) 449-7980
NPI assigned
Jun 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Dr. Amy Diane Rasmussen, O.D.NPI 1376548099
Title
President
Phone
(972) 837-8244

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 6837TG TX Primary

Addresses

Primary practice location

5000 Eldorado Pkwy
Suite 310
Frisco, TX 75034-8695

Mailing address

5000 Eldorado Pkwy
Suite 310
Frisco, TX 75034-8695
Phone (214) 449-7980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110819000350 TX Part B Supplier - Clinic/Group Practice 8325218878 Receives reassigned benefits from 2 practitioners
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

5000 Eldorado Pkwy
Ste 310
Frisco, TX 75033
Phone (214) 449-7980

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": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1164718599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 ELDORADO PKWY",
            "address_2": "SUITE 310",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348695",
            "telephone_number": "214-449-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 ELDORADO PKWY",
            "address_2": "SUITE 310",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348695",
            "telephone_number": "214-449-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE AVENUE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-837-8244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6837TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 23, 2011; 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.