Active NPI
Samir Pattni, O.D
- Optometrist
- Plano, TX
National Provider Identifier
1427030717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4757TG
- Practice address
- 2821 W Parker Rd
Suite 1
Plano, TX 75023-7950 - Phone
- (972) 596-3800
- NPI assigned
- Nov 14, 2005
- Last updated
- Nov 1, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4757TG | TX | Primary |
Addresses
Primary practice location
2821 W Parker Rd
Suite 1
Plano, TX 75023-7950
Mailing address
2821 W Parker Rd
Suite 1
Plano, TX 75023-7950
Phone (972) 596-3800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0A4530 | Other | TX | MEDICARE GROUP PTAN |
| 8F21704 | Other | TX | MEDICARE PTAN INDIVIDUAL |
| OOE12Y | Other | TX | MEDICARE PROVIDER NUMBER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2821 W Parker Rd
Suite 1
Plano, TX 75023-7949
Phone (972) 596-3800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4757TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collin Creek Eye Clinic P.a | Optometrist | Current | Accepting new patients |
Locations
2237 W 15th St
Plano, TX 75075
Phone (972) 596-3800
2821 W Parker Rd
Ste 1
Plano, TX 75023
Phone (972) 596-3800
Organizations & group practices 1
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.
-
- Optometrist
- Plano, TX
- NPI 1861618092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351728000000",
"number": "1427030717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 W PARKER RD",
"address_2": "SUITE 1",
"city": "PLANO",
"state": "TX",
"postal_code": "750237950",
"telephone_number": "972-596-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 W PARKER RD",
"address_2": "SUITE 1",
"city": "PLANO",
"state": "TX",
"postal_code": "750237950",
"telephone_number": "972-596-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTNI",
"first_name": "SAMIR",
"credential": "O.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2012-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "4757TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "0A4530",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN INDIVIDUAL",
"identifier": "8F21704",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "OOE12Y",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.