NPIMap

Organization Active NPI

Beth Digby Anderson, O.D., PLLC

Doing business as Wylie Eye Center

  • Optometrist
  • Wylie, TX
National Provider Identifier
1225367733
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
07085TG Issued in TX
Legal business name
BETH DIGBY ANDERSON, O.D., PLLC
Doing business as
Wylie Eye Center
Practice address
130 N Ballard Ave
Wylie, TX 75098-4467
Phone
(972) 429-9090
Fax
(972) 429-7676
NPI assigned
Dec 11, 2009
Last updated
Dec 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Authorized official

Name
Dr. Beth Digby Anderson, O.D.NPI 1558555953
Title
Owner
Phone
(972) 429-9090

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 07085TG TX Primary

Addresses

Primary practice location

130 N Ballard Ave
Wylie, TX 75098-4467

Mailing address

130 N Ballard Ave
Wylie, TX 75098-4467
Phone (972) 429-9090

Other names 1

  • Wylie Eye Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100114000337 TX Part B Supplier - Clinic/Group Practice 1759422629 Receives reassigned benefits from 6 practitioners
Practice locations: Southlake, TX; Wylie, TX

National Provider Directory

National Provider Directory

Locations

130 N Ballard Ave
Wylie, TX 75098
Phone (972) 429-9090

Practitioners & affiliated clinicians

Practitioners 6

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": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1225367733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N BALLARD AVE",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984467",
            "telephone_number": "972-429-9090",
            "fax_number": "972-429-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N BALLARD AVE",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984467",
            "telephone_number": "972-429-9090",
            "fax_number": "972-429-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH DIGBY ANDERSON, O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "DIGBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-429-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "07085TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wylie Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wylie Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.