Organization Active NPI

Reenvision Eyecare, PLLC

Doing business as ReEnvision Eyecare

  • Optometrist
  • Frisco, TX
National Provider Identifier
1790433951
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
REENVISION EYECARE, PLLC
Doing business as
ReEnvision Eyecare
Practice address
8949 Coit Rd Ste 170
Frisco, TX 75035-5845
Phone
(469) 908-8282
NPI assigned
Mar 16, 2022
Last updated
Jul 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Neha Patel, ODNPI 1821471095
Title
Manager
Phone
(817) 437-7444

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

8949 Coit Rd Ste 170
Frisco, TX 75035-5845

Mailing address

8949 Coit Rd Ste 170
Frisco, TX 75035-5996
Phone (469) 908-8282

Other names 1

  • ReEnvision Eyecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220509002051 TX Part B Supplier - Clinic/Group Practice 5193102309 Receives reassigned benefits from 1 practitioner
Practice locations: Frisco, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2279933Reenvision Eyecare8949 Coit Rd Suite 170, Frisco, TX 75035Certificate of waiverApr 10, 2027

National Provider Directory

National Provider Directory

Locations

8949 Coit Rd
Ste 170
Frisco, TX 75035
Phone (469) 908-8282

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1790433951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8949 COIT RD STE 170",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355996",
            "telephone_number": "469-908-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8949 COIT RD STE 170",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355845",
            "telephone_number": "469-908-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REENVISION EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NEHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-437-7444",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReEnvision Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ReEnvision Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.