Samira Foshat Alejos, O.D.
Individual provider Active NPI Optometrist · Cedar Park, TX
NPI 1194157487 · NPPES record last updated Jun 13, 2022
Key facts
- NPI
- 1194157487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 8209-T (TX)
- Practice address
- 1455 E Whitestone Blvd Ste G145
Cedar Park, TX 78613-7722 - Phone
- (254) 615-1082
- Fax
- (254) 615-1097
- NPI assigned
- Aug 8, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lone Star Vision Group PLLC
Practice addresses (Care Compare)
1455 E Whitestone Blvd
Suite G145
Cedar Park, TX 78613-7722
Phone (254) 615-1082
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131203001347 | TX | Practitioner - Optometry | 9537395140 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8209-T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lone Star Vision Group, PLLC | Optometrist | Current |
Accepting new patients |
Locations
1455 E Whitestone Blvd
Ste G145
Cedar Park, TX 78613
Phone (254) 615-1076
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8209-T | TX | Yes |
Addresses
Primary practice location
1455 E Whitestone Blvd Ste G145
Cedar Park, TX 78613-7722
Mailing address
15204 Killdeer St
Austin, TX 78734-6364
Phone (305) 763-9287
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.