Organization Active NPI

Motiveyes Eye Care PLLC

  • Optometrist
  • Plano, TX
National Provider Identifier
1659921658
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MOTIVEYES EYE CARE PLLC
Practice address
8621 Ohio Dr Ste 100
Plano, TX 75024-2264
Phone
(469) 656-8361
NPI assigned
Sep 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Authorized official

Name
Dr. Sally Mina, ODNPI 1902184633
Title
Owner/Managing Member
Phone
(469) 656-8361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

8621 Ohio Dr Ste 100
Plano, TX 75024-2264

Mailing address

613 Huntington LN
Allen, TX 75002-5817
Phone (469) 656-8361

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220707000030 TX Part B Supplier - Clinic/Group Practice 5698155752 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

8621 Ohio Dr
Ste 100
Plano, TX 75024
Phone (469) 656-8361

1700 Dallas Pkwy
Ste 100
Plano, TX 75093
Phone (469) 656-8361

Practitioners & affiliated clinicians

Practitioners 1

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": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1659921658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 HUNTINGTON LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750025817",
            "telephone_number": "469-656-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8621 OHIO DR STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242264",
            "telephone_number": "469-656-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTIVEYES EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "MINA",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "469-656-8361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "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 Sep 12, 2019; 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.