Individual provider Active NPI

Sawsan Emad Naser, OD

  • Optometrist
  • Southlake, TX
National Provider Identifier
1750060224
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10930 Issued in TX
Practice address
1251 E Southlake Blvd Ste 331
Southlake, TX 76092-6478
Phone
(469) 300-0952
NPI assigned
Jul 12, 2023
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10930 TX Primary

Addresses

Primary practice location

1251 E Southlake Blvd Ste 331
Southlake, TX 76092-6478

Mailing address

300 Casa Bello CT
Irving, TX 75062-5172
Phone (972) 890-6708

Other practice location 1

1101 Melbourne Rd Ste 3002
Hurst, TX 76053-6225
Phone (817) 754-8478

Other practice location 2

8687 N Central Expy Ste 2200
Dallas, TX 75225-4570
Phone (469) 965-1597

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
I20240418000043 TX Practitioner - Optometry 4587003959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
2020 EyedrGroup PAC ID 9537457189, 11 clinicians

Practice addresses (Care Compare)

1251 E Southlake Blvd
Suite 331
Southlake, TX 76092-6478
Phone (630) 452-6290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10930TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
2020 Eyedr Optometrist CurrentSince Jan 31, 2024 Accepting new patients
Zanella Optometry, PLLC Optometrist PastSince Jul 16, 2023 Accepting new patients

Locations

1101 Melbourne Rd
Ste 3002
Hurst, TX 76053
Phone (817) 284-0798

1251 E Southlake Blvd
Ste 331
Southlake, TX 76092
Phone (817) 310-0289

Organizations & group practices 2

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": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1750060224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CASA BELLO CT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625172",
            "telephone_number": "972-890-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 E SOUTHLAKE BLVD STE 331",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926478",
            "telephone_number": "469-300-0952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Melbourne Rd Ste 3002",
            "address_purpose": "LOCATION",
            "city": "Hurst",
            "state": "TX",
            "postal_code": "760536225",
            "country_code": "US",
            "telephone_number": "817-754-8478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8687 N Central Expy Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752254570",
            "country_code": "US",
            "telephone_number": "469-965-1597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASER",
        "first_name": "SAWSAN",
        "middle_name": "EMAD",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.