Organization Active NPI

Eye Room PLLC

Doing business as Prosper Eye Room

  • Optometrist
  • Prosper, TX
National Provider Identifier
1295334001
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE ROOM PLLC
Doing business as
Prosper Eye Room
Practice address
17659 Fishtrap Road
Ste 30
Prosper, TX 75078-7507
Phone
(469) 715-0775
NPI assigned
Oct 22, 2020
Last updated
Oct 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Mrs. Alyssa Haley
Title
Coo
Phone
(903) 748-0886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

17659 Fishtrap Road
Ste 30
Prosper, TX 75078-7507

Mailing address

17659 Fishtrap Road
Ste 30
Prosper, TX 75078
Phone (469) 715-0775

Other names 1

  • Prosper Eye Room Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address manager@prospereyeroom.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1295334001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17659 FISHTRAP ROAD",
            "address_2": "STE 30",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "75078",
            "telephone_number": "469-715-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17659 FISHTRAP ROAD",
            "address_2": "STE 30",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750787507",
            "telephone_number": "469-715-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ROOM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "903-748-0886",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "manager@prospereyeroom.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17659 Fishtrap Road",
            "address_2": "Ste 30",
            "city": "Prosper",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750787507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Prosper Eye Room",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.