Organization Active NPI

Stonebrook Eyecare, PLLC

  • Optometrist
  • Frisco, TX
National Provider Identifier
1235890104
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STONEBROOK EYECARE, PLLC
Practice address
6828 Stonebrook Pkwy # 200
Frisco, TX 75034-5706
Phone
(214) 432-4370
NPI assigned
Jan 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Katherine Egan, ODNPI 1912301342
Title
Optometrist
Phone
(214) 507-4547

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6828 Stonebrook Pkwy # 200
Frisco, TX 75034-5706

Mailing address

3804 Riversdale Rd
Frisco, TX 75036-7611
Phone (214) 507-4547

Other names 1

  • Stonebrook Eyecare & Eyewear Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221006003220 TX Part B Supplier - Clinic/Group Practice 6002292505 Receives reassigned benefits from 1 practitioner
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

6828 Stonebrook Pkwy
Ste 200
Frisco, TX 75034
Phone (214) 432-4370

6828 Stonebrook Pkwy
Frisco, TX 75034
Phone (972) 556-0600

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1235890104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 RIVERSDALE RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750367611",
            "telephone_number": "214-507-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6828 STONEBROOK PKWY # 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345706",
            "telephone_number": "214-432-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBROOK EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "214-507-4547",
        "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": [
        {
            "organization_name": "Stonebrook Eyecare & Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.