Organization Active NPI

Modern Vue Eyecare PLLC

  • Corneal and Contact Management Optometrist
  • Plano, TX
National Provider Identifier
1669160644
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
Legal business name
MODERN VUE EYECARE PLLC
Practice address
565 Coit Rd
Plano, TX 75075-7509
Phone
(972) 754-5859
NPI assigned
Apr 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Dr. Deborah Nguyen Wei, ODNPI 1629482575
Title
Therapeutic Optometrist/Part Owner
Phone
(972) 754-5859

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X Primary

Addresses

Primary practice location

565 Coit Rd
Plano, TX 75075-7509

Mailing address

565 Coit Rd
Suite 650
Plano, TX 75075
Phone (214) 305-9395

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240305000532 TX Part B Supplier - Clinic/Group Practice 8325483928 Receives reassigned benefits from 2 practitioners
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

565 Coit Rd
Ste 650
Plano, TX 75075
Phone (214) 305-9395

565 Coit Rd
Plano, TX 75075
Phone (972) 754-5859

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": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1669160644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 COIT RD",
            "address_2": "SUITE 650",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75075",
            "telephone_number": "214-305-9395",
            "fax_number": "214-305-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 COIT RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757509",
            "telephone_number": "972-754-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN VUE EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "WEI",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "NGUYEN",
        "authorized_official_title_or_position": "THERAPEUTIC OPTOMETRIST/PART OWNER",
        "authorized_official_telephone_number": "972-754-5859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "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 Feb 27, 2024; 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.