Anthony Peter Borgognoni, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3409TG Issued in TX

Practice address

1900 Preston Rd
Suite 265
Plano, TX 75093-5175

Phone

(972) 519-0006

Fax

(972) 519-0669

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NH, VT2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eyes on Preston Park PLLC

  • Optometrist
  • Plano, TX
  • NPI 1235868423
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1427097344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 WELLS DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936634",
            "telephone_number": "214-718-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PRESTON RD",
            "address_2": "SUITE 265",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935175",
            "telephone_number": "972-519-0006",
            "fax_number": "972-519-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGOGNONI",
        "first_name": "ANTHONY",
        "middle_name": "PETER",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3409TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "60103017",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "100742901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Bordelon
• Laura Kay Bordelon, LPC
• Megan Jean Borden, LVN
• Edwin Lawrence Boren Jr., MD
• Reagan Borgman, LCSW
• Laurie Kay Bornstein, MS, CCC-A
• Richard C Bosacker, MD
• Sara Bosak-Barani, PHARMD, MBA
• Caitlind Boshears
• Ronald E Bosher, D.D.S.

• Optometrist in Plano, TX
• Providers in Plano, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.