Individual provider Active NPI

Amber Elise Paulsen, O.D.

  • Optometrist
  • Frisco, TX
National Provider Identifier
1871828061
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7453TG Issued in TX
Practice address
7638 Stonebrook Pkwy
Frisco, TX 75034-1003
Phone
(972) 712-1010
Fax
(972) 712-1011
NPI assigned
Oct 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7453TG TX Primary

Addresses

Primary practice location

7638 Stonebrook Pkwy
Frisco, TX 75034-1003

Mailing address

7638 Stonebrook Pkwy
Frisco, TX 75034-1003
Phone (972) 712-1010

Other identifiers 4

IdentifierTypeStateIssuer
82954QOtherTXBCBS ID
00E41YOtherTXGROUP PTAN
1902852346OtherTXGROUP NPI
DO9312OtherTXRAILROAD MEDICARE PTAN

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
I20110418000779 TX Practitioner - Optometry 6608050562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

10150 Legacy Dr
Suite 300
Frisco, TX 75033-6731
Phone (469) 444-8888

1925 Prestwick Hollow Dr
Suite 700
McKinney, TX 75071-8950
Phone (972) 525-8110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7453TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Frisco Family Vision, PLLC Optometrist CurrentSince Feb 15, 2019 Accepting new patients
Prestwick Family Eyecare PLLC Optometrist CurrentSince May 11, 2026 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Jun 7, 2024 Accepting new patients
Pope Enterprises PLLC Optometrist Past Accepting new patients
Dianne Bui Dao OD PC Optometrist PastSince Apr 24, 2011 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

1102 S Friendswood Dr
Ste A
Friendswood, TX 77546
Phone (281) 482-0066

10150 Legacy Dr
Ste 300
Frisco, TX 75033
Phone (469) 444-8888

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

1925 Prestwick Hollow Dr
Ste 700
McKinney, TX 75071
Phone (972) 525-8110

2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020

670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466

Organizations & group practices 6

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": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1871828061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7638 STONEBROOK PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341003",
            "telephone_number": "972-712-1010",
            "fax_number": "972-712-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7638 STONEBROOK PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341003",
            "telephone_number": "972-712-1010",
            "fax_number": "972-712-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSEN",
        "first_name": "AMBER",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7453TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  ID",
            "identifier": "82954Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "00E41Y",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1902852346",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DO9312",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.