Organization Active NPI

Plano Eye Associates PC

  • Optometrist
  • Plano, TX
National Provider Identifier
1750581864
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3161TG Issued in TX
Legal business name
PLANO EYE ASSOCIATES PC
Practice address
5900 Coit Rd
Plano, TX 75023-5959
Phone
(972) 985-1412
Fax
(972) 964-5758
NPI assigned
Jul 18, 2007
Last updated
Apr 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Kim Castleberry, O.D.NPI 1841213576
Title
Ceo
Phone
(972) 985-1412

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
Optometrist 152W00000X 3161TG TX Primary

Addresses

Primary practice location

5900 Coit Rd
Plano, TX 75023-5959

Mailing address

5900 Coit Rd
Plano, TX 75023-5959
Phone (972) 985-1412

Other identifiers 1

IdentifierTypeStateIssuer
093192502MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041028001100 TX Part B Supplier - Clinic/Group Practice 3072575349 Receives reassigned benefits from 10 practitioners
Practice locations: Plano, TX
O20100930079357 TX DME Supplier - Physician - OptometristDME Supplier - Optician 3072575349 Practice locations: Plano, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Plano Eye Associates PC5900 Coit Rd, Plano, TX 75023-5959(972) 985-1412 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since May 19, 1987

National Provider Directory

National Provider Directory

Locations

5900 Coit Rd
Plano, TX 75023
Phone (972) 985-1412

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1750581864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 COIT RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235959",
            "telephone_number": "972-985-1412",
            "fax_number": "972-964-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 COIT RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235959",
            "telephone_number": "972-985-1412",
            "fax_number": "972-964-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANO EYE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "CASTLEBERRY",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-985-1412",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3161TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093192502",
            "state": "TX"
        }
    ],
    "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 Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.