Individual provider Active NPI

Eric Keith Newberry, O.D.

  • Optometrist
  • McKinney, TX
National Provider Identifier
1518924307
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5516TG Issued in TX
Practice address
1716 W Virginia St
McKinney, TX 75069-7864
Phone
(972) 562-0101
Fax
(972) 562-0406
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5516TG TX Primary

Addresses

Primary practice location

1716 W Virginia St
McKinney, TX 75069-7864

Mailing address

1716 W Virginia St
McKinney, TX 75069-7864
Phone (972) 562-0101

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
I20150205002222 TX Practitioner - Optometry 3678730389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

417 W Main St
Denison, TX 75020-3126
Phone (903) 465-3815

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5516TGTXMDOptometrist
2226OKMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care of Texoma, LLC Optometrist CurrentSince Apr 25, 2024 Accepting new patients
Newberry Vision Center, PLLC Optometrist CurrentSince Jan 1, 2015 Accepting new patients
Eric K. Newberry, OD Optometrist PastSince Mar 1, 2003 Accepting new patients

Locations

417 W Main St
Denison, TX 75020
Phone (903) 465-3815

1716 W Virginia St
McKinney, TX 75069
Phone (972) 542-0146

2301 Eldorado Pkwy
Ste 200
McKinney, TX 75070
Phone (972) 540-2015

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1518924307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 W VIRGINIA ST",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750697864",
            "telephone_number": "972-562-0101",
            "fax_number": "972-562-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 W VIRGINIA ST",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750697864",
            "telephone_number": "972-562-0101",
            "fax_number": "972-562-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBERRY",
        "first_name": "ERIC",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5516TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.