Active NPI
Laura Elizabeth Wiese, O.D.
- Optometrist
- Garland, TX
National Provider Identifier
1780806141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5470TG
- Practice address
- 1138 Belt Line Rd Ste 230
Garland, TX 75040-1994 - Phone
- (972) 495-3997
- Fax
- (972) 414-0912
- NPI assigned
- May 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5470TG | TX | Primary |
Addresses
Primary practice location
1138 Belt Line Rd Ste 230
Garland, TX 75040-1994
Mailing address
3104 Cross Bend Rd
Plano, TX 75023-5603
Phone (972) 596-3429
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
810 Rockwall Pkwy
Suite 2020
Rockwall, TX 75032-6870
Phone (972) 472-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5470TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holly Fisher Britt, O.D., P.C. | Optometrist | Current | Accepting new patients |
| Aeg 7 TX Professional, PLLC | Optometrist | Past | Accepting new patients |
| Aeg Texas Professional PLLC | Optometrist | Past | Accepting new patients |
Locations
810 Rockwall Pkwy
#2020
Rockwall, TX 75032
Phone (972) 472-2020
Organizations & group practices 4
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.
-
- Optometrist
- Mesquite, TX
- NPI 1710057070
-
- Optometrist
- Flower Mound, TX
- NPI 1124882659
-
- Optometrist
- Kerrville, TX
- NPI 1457905937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780806141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3104 CROSS BEND RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750235603",
"telephone_number": "972-596-3429",
"fax_number": "972-596-3429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1138 BELT LINE RD STE 230",
"city": "GARLAND",
"state": "TX",
"postal_code": "750401994",
"telephone_number": "972-495-3997",
"fax_number": "972-414-0912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIESE",
"first_name": "LAURA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5470TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
- Melinda White, M.S., CF-SLP
- Whitewing Dental of Garland PLLC
- Gracie Whitley, PT
- Kate Elizabeth Lee Whitley, LPC
- Wholistic Healthcare Solutions: Mind, Body & Spirit, PLLC (PediAdults (Pediatrics & Adults) After Hours Clinic)
- Robert Gustav Wiese, D.D.S.
- Jayne Wiggins, MS, RD, LD, CDE
- Jessica Wihowski, WHNP
- Wilcare Hospice LLC
- Kameron Wilding, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.