Individual provider Active NPI

Morgan Breanna Borders, OD

  • Optometrist
  • Lewisville, TX
National Provider Identifier
1861005779
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10041TG Issued in TX
Practice address
190 E Round Grove Rd
Lewisville, TX 75067-8301
Phone
(469) 549-0987
NPI assigned
Aug 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10041TG TX Primary

Addresses

Primary practice location

190 E Round Grove Rd
Lewisville, TX 75067-8301

Mailing address

190 E Round Grove Rd
Lewisville, TX 75067-8301
Phone (469) 549-0987

Other practice location 1

701 W Princeton Dr
Princeton, TX 75407-9002
Phone (972) 734-9119

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
I20201118000021 TX Practitioner - Optometry 6305257635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewisville Eye Care PLLCGroup PAC ID 9537585815, 3 clinicians

Practice addresses (Care Compare)

190 E Round Grove Rd
Lewisville, TX 75067-8301
Phone (469) 549-0987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10041TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lewisville Eye Care, PLLC Optometrist CurrentSince Oct 29, 2020 Accepting new patients
Deseye, LLC Optometrist CurrentSince Oct 29, 2020 Accepting new patients

Locations

190 E Round Grove Rd
Lewisville, TX 75067
Phone (469) 549-0987

701 W Princeton Dr
Princeton, TX 75407
Phone (972) 734-9119

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1861005779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E ROUND GROVE RD",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678301",
            "telephone_number": "469-549-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E ROUND GROVE RD",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678301",
            "telephone_number": "469-549-0987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W Princeton Dr",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "TX",
            "postal_code": "754079002",
            "country_code": "US",
            "telephone_number": "972-734-9119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORDERS",
        "first_name": "MORGAN",
        "middle_name": "BREANNA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-29",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10041TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.