Individual provider Active NPI

Mohamed Sirageldin Osman, O.D.

  • Optometrist
  • McKinney, TX
National Provider Identifier
1235514084
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8671 Issued in TX
Practice address
6675 S Custer Rd Ste 600
McKinney, TX 75070-1840
Phone
(469) 317-2020
NPI assigned
Jul 22, 2015
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2726 AR
Optometrist 152W00000X 8671 TX Primary

Addresses

Primary practice location

6675 S Custer Rd Ste 600
McKinney, TX 75070-1840

Mailing address

1801 N Pearl St Apt 1406
Dallas, TX 75201-2958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180124000311 TX Practitioner - Optometry 9739448572 Reassigns benefits to 2 organizations
Practice locations: Richardson, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Eye Partners PLLCGroup PAC ID 7810325859, 3 clinicians

Practice addresses (Care Compare)

6675 S Custer Rd
600 Denovo Eye
McKinney, TX 75070-1840
Phone (469) 317-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2726ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Eye Partners PLLC Optometrist CurrentSince May 4, 2020 Accepting new patients
Lakeview Vision LLC Optometrist CurrentSince Jun 15, 2025 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Oct 19, 2020 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Oct 19, 2020 Accepting new patients
The Lasik Vision Institute LLC Past Accepting new patients
The Cataract Vision Institute LLC Past Accepting new patients
The Cataract Vision Institute LLC PastSince Dec 10, 2017 Accepting new patients
The Lasik Vision Institute LLC PastSince Dec 10, 2017 Accepting new patients

Locations

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

5832 Boat Club Rd
Fort Worth, TX 76179
Phone (817) 237-7153

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

6675 S Custer Rd
Ste 600
McKinney, TX 75070
Phone (469) 317-2020

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1235514084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N PEARL ST APT 1406",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 S CUSTER RD STE 600",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701840",
            "telephone_number": "469-317-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMAN",
        "first_name": "MOHAMED",
        "middle_name": "SIRAGELDIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2726",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.