Collin Creek Eye Clinic P.a

Primary specialty

OptometristTaxonomy code 152W00000X

License

4757TG Issued in TX

Legal business name

COLLIN CREEK EYE CLINIC P.A

Practice address

2821 W Parker Rd
Suite1
Plano, TX 75023-7950

Phone

(972) 596-3800

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Samir Pattni, O.DNPI 1427030717

Title

Owner

Phone

(972) 596-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samir Pattni, O.D

  • Optometrist
  • Plano, TX
  • NPI 1427030717
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1861618092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 W PARKER RD",
            "address_2": "SUITE1",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750237950",
            "telephone_number": "972-596-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 W PARKER RD",
            "address_2": "SUITE1",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750237950",
            "telephone_number": "972-596-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIN CREEK EYE CLINIC P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "PATTNI",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-596-3800",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4757TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "1169800001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Collin County Imaging
• Collin County Oncology Associates, PA
• Collin County Urology
• Collin County Urology
• Collin Creek Assisted Living Center, Inc
• Collin Emergency Medicine Associates PA
• Collin Physican Support
• Collin Surgical Group, PA
• Alicia Collins
• Constance D. Collins, L.M.T.

• Optometrist in Plano, TX
• Providers in Plano, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.