Organization Active NPI

DRS Milburn-Plano LLC

Doing business as Vision Source Plano

  • Optometrist
  • Plano, TX
National Provider Identifier
1316550411
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DRS MILBURN-PLANO LLC
Doing business as
Vision Source Plano
Practice address
4160 W Spring Creek Pkwy Ste 100
Plano, TX 75024-5317
Phone
(330) 416-4569
NPI assigned
Aug 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Tim Milburn, O.D.
Title
President
Phone
(330) 416-4569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4160 W Spring Creek Pkwy Ste 100
Plano, TX 75024-5317

Mailing address

4160 W Spring Creek Pkwy
Plano, TX 75024-5316
Phone (972) 612-2099

Other names 1

  • Vision Source Plano Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL http:www.milburneye.com Direct
Other URL www.milburneye.com
Other URL http:www.milburneye.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201203000229 TX Part B Supplier - Clinic/Group Practice 5294146858 Receives reassigned benefits from 3 practitioners
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

7932 Preston Rd
Ste 100
Frisco, TX 75034
Phone (214) 494-6000

4160 W Spring Creek Pkwy
Ste A
Plano, TX 75024
Phone (972) 612-2099

4160 W Spring Creek Pkwy
Plano, TX 75024
Phone (972) 867-7883

Practitioners & affiliated clinicians

Practitioners 3

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": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1316550411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 W SPRING CREEK PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245316",
            "telephone_number": "972-612-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 W SPRING CREEK PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245317",
            "telephone_number": "330-416-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS MILBURN-PLANO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "MILBURN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-416-4569",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http:www.milburneye.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "7932 Preston Rd Ste 100",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750345707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.milburneye.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "7932 Preston Rd Ste 100",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750345707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http:www.milburneye.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "7932 Preston Rd Ste 100",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750345707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vision Source Plano",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.