Individual provider Active NPI

Parisa Foroutan, OD

  • Optometrist
  • Plano, TX
National Provider Identifier
1538680509
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9159T Issued in TX
Practice address
2313 W Parker Rd
Plano, TX 75023-7839
Phone
(972) 612-2015
Fax
(972) 867-5454
NPI assigned
Jun 29, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9159T TX Primary

Addresses

Primary practice location

2313 W Parker Rd
Plano, TX 75023-7839

Mailing address

2313 W Parker Rd
Plano, TX 75023-7839
Phone (972) 612-2015

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
I20170926000732 TX Practitioner - Optometry 6406120773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

1090 W Campbell Rd
Richardson, TX 75080-2992
Phone (972) 231-9595

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9159TXMDAddiction (Substance Use Disorder) Counselor
9159TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince May 17, 2022 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince May 17, 2022 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

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

2313 W Parker Rd
Plano, TX 75023
Phone (972) 612-2015

1090 W Campbell Rd
Richardson, TX 75080
Phone (972) 231-9595

2000 N Plano Rd
Ste 111
Richardson, TX 75082
Phone (972) 234-3937

1090 W Campbell Rd
Ste 100
Richardson, TX 75080
Phone (972) 231-9595

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1538680509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 W PARKER RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750237839",
            "telephone_number": "972-612-2015",
            "fax_number": "972-867-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 W PARKER RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750237839",
            "telephone_number": "972-612-2015",
            "fax_number": "972-867-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOROUTAN",
        "first_name": "PARISA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9159T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.