Lillian Winslow Blue
Individual provider Active NPI Optometrist · Allen, TX
NPI 1194400218 · NPPES record last updated Jun 16, 2023
Key facts
- NPI
- 1194400218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 10836 (TX)
- Practice address
- 690 S Watters Rd
Allen, TX 75013-5008 - Phone
- (972) 727-6262
- NPI assigned
- Jun 16, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allen Eye Associates PA
Practice addresses (Care Compare)
690 S Watters Rd
Allen, TX 75013-5008
Phone (972) 727-6262
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 |
|---|---|---|---|---|
| I20230725003860 | TX | Practitioner - Optometry | 7315308277 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10836 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Eye Associates PA | Optometrist | Current |
Accepting new patients |
Locations
690 S Watters Rd
Allen, TX 75013
Phone (972) 727-6262
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10836 | TX | Yes |
Addresses
Primary practice location
690 S Watters Rd
Allen, TX 75013-5008
Mailing address
4230 Artisan Park Unit 202
Frisco, TX 75034-4193
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2023. 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.