Individual provider Active NPI

Colleen M Lenz, O.D.

  • Optometrist
  • Allen, TX
National Provider Identifier
1770614364
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7339T Issued in TX
Practice address
190 E Stacy Rd Ste 204B
Allen, TX 75002
Phone
(972) 678-4574
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7339T TX Primary

Addresses

Primary practice location

190 E Stacy Rd Ste 204B
Allen, TX 75002

Mailing address

190 E Stacy Rd Ste 204B
Allen, TX 75002-8738
Phone (972) 678-4574

Other practice location 1

3265 W Market St
Ste 632
Fairlawn, OH 44333-3337
Phone (330) 836-7225

Other names 1

  • Colleen M Garton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1770614364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E STACY RD STE 204B",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028738",
            "telephone_number": "972-678-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E STACY RD STE 204B",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75002",
            "telephone_number": "972-678-4574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3265 W Market St",
            "address_2": "Ste 632",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "OH",
            "postal_code": "443333337",
            "country_code": "US",
            "telephone_number": "330-836-7225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENZ",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7339T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "GARTON",
            "middle_name": "M",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.