Individual provider Active NPI

Angela M Ahrens, O.D.

  • Optometrist
  • McKinney, TX
National Provider Identifier
1629074612
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8576TG Issued in TX
Practice address
1716 W Virginia St
McKinney, TX 75069-7864
Phone
(972) 562-0101
Fax
(972) 562-0406
NPI assigned
Jun 23, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2386 OK
Optometrist 152W00000X 8576TG 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

Other identifiers 3

IdentifierTypeStateIssuer
200019020BMedicaidOK
CO5028OtherOKMEDICARE ID
P00135879OtherOKMEDICARE ID

Other names 1

  • Dr. Angela M Edwards Former 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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151123000948 TX Practitioner - Optometry 5496747941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newberry Vision Center, PLLCGroup PAC ID 7911222328, 3 clinicians

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8576TXMDPeriodontist
8576TGTXMDOptometrist
2386OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Newberry Vision Center, PLLC Optometrist CurrentSince Sep 27, 2015 Accepting new patients
Eric K. Newberry, OD Optometrist Past Accepting new patients
Northeastern State University College of Optometry Optometrist PastSince Jul 1, 2025 Accepting new patients

Locations

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

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1629074612",
    "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": "AHRENS",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2386",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8576TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200019020B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CO5028",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "P00135879",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "EDWARDS",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.