Eyes on Preston Park PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYES ON PRESTON PARK PLLC

Practice address

1900 Preston Rd Ste 265
Plano, TX 75093-5203

Phone

(972) 519-0006

Fax

(972) 519-0069

NPI assigned

Jun 6, 2022

Organization subpart

No

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

Authorized official

Name

Tiffany Theis, OD

Title

Doctor

Phone

(972) 519-0006

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany A. Doan, O.D.

  • Optometrist
  • Dallas, TX
  • NPI 1407119928
  Medicare reassignment Care Compare group NPD
• Kristina Ngoc-Thuy Nhan, OD

  • Optometrist
  • Plano, TX
  • NPI 1558848648
  Medicare reassignment Care Compare group NPD
• Carey B Brooks, OD

  • Optometrist
  • Plano, TX
  • NPI 1790939718
  NPD
• Gregory Wade Harrison, O.D.

  • Optometrist
  • Plano, TX
  • NPI 1225071343
  NPD
• Courtney D Perry, OD

  • Optometrist
  • Athens, TX
  • NPI 1184065526
  NPD
• Anthony Peter Borgognoni, O.D.

  • Optometrist
  • Plano, TX
  • NPI 1427097344
  NPD (past)
• Seema Khanna, OD

  • Optometrist
  • Riverhead, NY
  • NPI 1467494583
  NPD (past)
• Andreas Zacharopoulos, OD

  • Optometrist
  • St Petersburg, FL
  • NPI 1194377317
  NPD (past)

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1235868423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 PRESTON RD STE 265",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935203",
            "telephone_number": "972-519-0006",
            "fax_number": "972-519-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PRESTON RD STE 265",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935203",
            "telephone_number": "972-519-0006",
            "fax_number": "972-519-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON PRESTON PARK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "THEIS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "972-519-0006",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Altagrace Exume
• Eye Clinic, P.a.
• Eye Surgery of Texas, P.a.
• Eyehealth Texas P.a
• Eyemasters of Texas LTD
• Ez DME, LLC
• Ez Mobile Diagnostic Services Management Inc
• Ez Sleep Medical Clinic Corporation
• Chidinma Paschaline Ezenwa
• Paul J Ezzo, D.D.S., PH.D

• Optometrist in Plano, TX
• Providers in Plano, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.