Individual provider Active NPI

Reid Andrew Robertson, O.D.

  • Optometrist
  • Allen, TX
National Provider Identifier
1306159520
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7583T Issued in TX
Practice address
941 W Bethany Dr
Allen, TX 75013-3739
Phone
(214) 495-0095
NPI assigned
Jul 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7583T TX Primary

Addresses

Primary practice location

941 W Bethany Dr
Allen, TX 75013-3739

Mailing address

941 W Bethany Dr
Allen, TX 75013-3739
Phone (214) 495-0095

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
I20101103000159 TX Practitioner - Optometry 6608060702 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians
Robertson Ocular Watters Creek LLCGroup PAC ID 5799979894, 2 clinicians

Practice addresses (Care Compare)

3301 N Goliad St
Suite 109
Rockwall, TX 75087-7194
Phone (972) 430-9977

918 Watters Creek Blvd
Allen, TX 75013-3734
Phone (214) 295-2706

941 W Bethany Dr
Allen, TX 75013-3739
Phone (214) 495-0095

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7583TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Jan 16, 2026 Accepting new patients
Robertson Ocular Watters Creek LLC Optometrist CurrentSince Jun 21, 2010 Accepting new patients
Tso Melissa LLC Optometrist CurrentSince Apr 1, 2022 Accepting new patients
Dianne Bui Dao OD PC Optometrist PastSince Apr 24, 2011 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
Pope Enterprises PLLC Optometrist Past Accepting new patients

Locations

941 W Bethany Dr
Allen, TX 75013
Phone (214) 495-0095

918 Watters Creek Blvd
Allen, TX 75013
Phone (214) 495-0095

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

1102 S Friendswood Dr
Ste A
Friendswood, TX 77546
Phone (281) 482-0066

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

2613 Sentinel Way
Ste 400
Melissa, TX 75454
Phone (432) 230-5615

2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020

3301 N Goliad St
Ste 109
Rockwall, TX 75087
Phone (972) 430-4414

670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1306159520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 W BETHANY DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133739",
            "telephone_number": "214-495-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 W BETHANY DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133739",
            "telephone_number": "214-495-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "REID",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7583T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.