Individual provider Active NPI

Amy Diane Smith Rasmussen, O. D.

  • Optometrist
  • Frisco, TX
National Provider Identifier
1376548099
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6837TG Issued in TX
Practice address
5000 Eldorado Pkwy
Suite 310
Frisco, TX 75033-8695
Phone
(972) 377-4393
NPI assigned
Jun 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6837TG TX Primary

Addresses

Primary practice location

5000 Eldorado Pkwy
Suite 310
Frisco, TX 75033-8695

Mailing address

7758 Creekmere Dr
Frisco, TX 75035-8942
Phone (972) 335-6863

Other names 1

  • Dr. Amy Diane Smith Professional name

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
I20080605000830 TX Practitioner - Optometry 4688744303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Avenue, PCGroup PAC ID 8325218878, 2 clinicians

Practice addresses (Care Compare)

5000 Eldorado Pkwy
Suite 310
Frisco, TX 75033-8695
Phone (972) 377-4393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6837TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Avenue, PC Optometrist CurrentSince Jul 18, 2011 Accepting new patients
Arnold M Stokol OD Optometrist Past Accepting new patients
Stokol Fagala Optometry PLLC Optometrist PastSince Nov 16, 2021 Accepting new patients

Locations

5000 Eldorado Pkwy
Ste 310
Frisco, TX 75033
Phone (214) 449-7980

Organizations & group practices 3

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1376548099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7758 CREEKMERE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750358942",
            "telephone_number": "972-335-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 ELDORADO PKWY",
            "address_2": "SUITE 310",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750338695",
            "telephone_number": "972-377-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "AMY",
        "middle_name": "DIANE SMITH",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6837TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SMITH",
            "middle_name": "DIANE",
            "prefix": "DR.",
            "credential": "O. D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.