Individual provider Active NPI

Aureyelle Stewart-Lee, O.D.

  • Optometrist
  • Grand Prairie, TX
National Provider Identifier
1639315302
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7264TG Issued in TX
Practice address
2634 S Carrier Pkwy Ste 101
Grand Prairie, TX 75052-5005
Phone
(972) 641-0011
Fax
(972) 641-8206
NPI assigned
Dec 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7264TG TX Primary

Addresses

Primary practice location

2634 S Carrier Pkwy Ste 101
Grand Prairie, TX 75052-5005

Mailing address

2634 S Carrier Pkwy Ste 101
Grand Prairie, TX 75052-5005
Phone (972) 641-0011

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
I20090501000371 TX Practitioner - Optometry 8729136676 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eye Care of Texas PLLCGroup PAC ID 9739340035, 3 clinicians

Practice addresses (Care Compare)

2634 S Carrier Pkwy
Suite 101
Grand Prairie, TX 75052-5005
Phone (972) 641-0011

930 N Walnut Creek Dr
Suite 100
Mansfield, TX 76063-8015
Phone (817) 473-1954

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7264TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
T & B Eye Care Services LP Optometrist CurrentSince Apr 1, 2016 Accepting new patients
T & B Eye Care Services LP Optometrist CurrentSince Apr 1, 2016 Accepting new patients
Advanced Eye Care of Texas PLLC Optometrist CurrentSince Nov 8, 2024 Accepting new patients
Thai-an Nguyen OD PLLC Optometrist CurrentSince Sep 29, 2024 Accepting new patients
Dr. Michael K. Hammond, PA Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Harvey L Carter III MD PA PastSince Jan 19, 1994 Accepting new patients

Locations

3900 W Wheatland Rd
Dallas, TX 75237
Phone (972) 780-7199

9500 Clifford St
Fort Worth, TX 76108
Phone (817) 367-0818

2634 S Carrier Pkwy
Ste 101
Grand Prairie, TX 75052
Phone (972) 641-0011

930 N Walnut Creek Dr
Ste 100
Mansfield, TX 76063
Phone (817) 473-1956

Organizations & group practices 6

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": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1639315302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 S CARRIER PKWY STE 101",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525005",
            "telephone_number": "972-641-0011",
            "fax_number": "972-641-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 S CARRIER PKWY STE 101",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525005",
            "telephone_number": "972-641-0011",
            "fax_number": "972-641-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART-LEE",
        "first_name": "AUREYELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7264TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.