Individual provider Active NPI

Yaseen Waqar, OD

  • Optometrist
  • Kyle, TX
National Provider Identifier
1417568635
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10001 Issued in TX
Practice address
5401 FM 1626 Ste 110
Kyle, TX 78640-6039
Phone
(512) 268-2020
NPI assigned
Aug 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10001 TX Primary

Addresses

Primary practice location

5401 FM 1626 Ste 110
Kyle, TX 78640-6039

Mailing address

5401 FM 1626 Ste 110
Kyle, TX 78640-6039
Phone (254) 717-9873

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
I20210818002189 TX Practitioner - Optometry 6305266768 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dolbee & Associates, PLLC Optometrist CurrentSince May 11, 2021 Accepting new patients
Warren Eye Associates Optometrist CurrentSince May 7, 2024 Accepting new patients
Nova Southeastern University, Inc Past Accepting new patients

Locations

5401 FM 1626
Ste 110
Kyle, TX 78640
Phone (512) 268-2020

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": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1417568635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 FM 1626 STE 110",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406039",
            "telephone_number": "254-717-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 FM 1626 STE 110",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406039",
            "telephone_number": "512-268-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAQAR",
        "first_name": "YASEEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.