Organization Active NPI

Texas Eye and Aesthetic Center PLLC

  • Ophthalmology Physician
  • Plano, TX
National Provider Identifier
1558048058
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TEXAS EYE AND AESTHETIC CENTER PLLC
Practice address
3950 W Plano Pkwy Ste a
Plano, TX 75075-7805
Phone
(972) 519-9933
Fax
(972) 468-1434
NPI assigned
Jun 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Ms. Sabrina Cisneros
Title
Practice Manager
Phone
(972) 519-9933

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3950 W Plano Pkwy Ste a
Plano, TX 75075-7805

Mailing address

3950 W Plano Pkwy Ste a
Plano, TX 75075-7805
Phone (972) 519-9933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240321002325 TX Part B Supplier - Clinic/Group Practice 9436596780 Receives reassigned benefits from 2 practitioners
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

3950 W Plano Pkwy
Ste A
Plano, TX 75075
Phone (972) 519-9933

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1558048058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 W PLANO PKWY STE A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757805",
            "telephone_number": "972-519-9933",
            "fax_number": "972-468-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 W PLANO PKWY STE A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757805",
            "telephone_number": "972-519-9933",
            "fax_number": "972-468-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS EYE AND AESTHETIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "CISNEROS",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "972-519-9933",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.