Individual provider Active NPI

Heather Marie Porter, O.D.

  • Optometrist
  • Prosper, TX
National Provider Identifier
1346689361
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8176T Issued in TX
Practice address
3620 W First Street
Suite 60
Prosper, TX 75078
Phone
(077) 546-9715
Fax
(071) 746-9715
NPI assigned
Jun 24, 2013
Last updated
May 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8176T TX Primary

Addresses

Primary practice location

3620 W First Street
Suite 60
Prosper, TX 75078

Mailing address

3620 W First Street
Suite 60
Prosper, TX 75078-1569
Phone (469) 715-0775

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
I20230420000602 TX Practitioner - Optometry 6103281415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Elm Eye Care, P.a.Group PAC ID 8022092576, 3 clinicians

Practice addresses (Care Compare)

1200 E Eldorado Pkwy
Suite 100
Little Elm, TX 75068-5582
Phone (972) 292-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8176TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Elm Eye Care, P.a. Optometrist CurrentSince Apr 8, 2024 Accepting new patients
Family Vision Partners, PLLC. Optometrist CurrentSince May 26, 2024 Accepting new patients
Visionary Family Eye Care PLLC Current Accepting new patients
Med Southwest, PLLC Optometrist PastSince Feb 16, 2020 Accepting new patients
Flower Mound Eyecare Associates Optometrist Past Accepting new patients

Locations

1200 E Eldorado Pkwy
Ste 100
Little Elm, TX 75068
Phone (972) 292-0900

3620 W 1st St
Ste 60
Prosper, TX 75078
Phone (469) 715-0775

Interoperability endpoints

  • Direct secure messaging: heather.porter@uprisedirect.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1346689361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 W FIRST STREET",
            "address_2": "SUITE 60",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781569",
            "telephone_number": "469-715-0775",
            "fax_number": "469-715-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 W FIRST STREET",
            "address_2": "SUITE 60",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "75078",
            "telephone_number": "077-546-9715",
            "fax_number": "071-746-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8176T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.