Individual provider Active NPI

Lori Coors, M.D.

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1427057223
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
M0693 Issued in TX
Practice address
9600 N. Central Expressway
Suite 100
Dallas, TX 75231-5078
Phone
(214) 692-6941
NPI assigned
Jul 14, 2005
Last updated
Feb 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X M0693 TX Primary

Addresses

Primary practice location

9600 N. Central Expressway
Suite 100
Dallas, TX 75231-5078

Mailing address

PO Box 650037
Dallas, TX 75265-0037
Phone (214) 696-2008

Other identifiers 6

IdentifierTypeStateIssuer
172629106MedicaidTX
172629101MedicaidTX
172629104MedicaidTX
172629105MedicaidTX
172629102MedicaidTX
172629103MedicaidTX

Other names 1

  • Lori Polosky Other 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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050413001222 TX Practitioner - Ophthalmology 5799722450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of New Mexico School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Retina AssociatesGroup PAC ID 7012969843, 18 clinicians

Practice addresses (Care Compare)

1708 Coit Rd
Suite 215
Plano, TX 75075-5025
Phone (972) 596-9222

3324 Colorado Blvd
Suite 103
Denton, TX 76210-6891
Phone (940) 382-1261

5858 Main St
Suite 200
Frisco, TX 75033-4194
Phone (945) 465-2121

715 E Taylor St
Sherman, TX 75090-2859
Phone (903) 893-8443

9600 N Central Expy
Suite 100
Dallas, TX 75231-5078
Phone (214) 692-6941

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as group
Quality
82.48
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M0693TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Retina Associates Ophthalmology Current Accepting new patients
Texas Retina Associates Ophthalmology CurrentSince May 1, 2005 Accepting new patients
Jeffrey J Brown MD PA Past Accepting new patients
Texas Retina Associates Ophthalmology Past Accepting new patients

Locations

1001 N Waldrop Dr
Ste 512
Arlington, TX 76012
Phone (817) 261-9625

801 W Randol Mill Rd
Ste 101
Arlington, TX 76012
Phone (817) 261-9625

301 Hospital Dr
Corsicana, TX 75110
Phone (903) 641-4800

10740 N Central Expy
Ste 170
Dallas, TX 75231
Phone (214) 328-3610

10740 N Central Expy
Ste 275
Dallas, TX 75231
Phone (214) 261-3600

9600 N Central Expy
Ste 100
Dallas, TX 75231
Phone (214) 215-4627

3324 Colorado Blvd
Ste 103
Denton, TX 76210
Phone (940) 382-1261

3802 22nd St
Ste B
Lubbock, TX 79410
Phone (806) 792-0066

1708 Coit Rd
Ste 215
Plano, TX 75075
Phone (800) 695-6941

715 E Taylor St
Sherman, TX 75090
Phone (903) 893-8443

5800 Kell Blvd
Ste 100
Wichita Falls, TX 76310
Phone (940) 691-3232

Interoperability endpoints

  • Direct secure messaging: lori.coors@direct.texasretina.nextgenshare.com

Organizations & group practices 4

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1427057223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650037",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650037",
            "telephone_number": "214-696-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 N. CENTRAL EXPRESSWAY",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315078",
            "telephone_number": "214-692-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COORS",
        "first_name": "LORI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M0693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172629106",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172629101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172629104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172629105",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172629102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172629103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "POLOSKY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.