Individual provider Active NPI

Andrew Kryder, OD

  • Optometrist
  • McKinney, TX
National Provider Identifier
1881124329
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9452TG Issued in TX
Practice address
6851 Virginia Pkwy Ste 101
McKinney, TX 75071
Phone
(214) 865-6266
Fax
(214) 865-6305
NPI assigned
Jun 18, 2017
Last updated
Mar 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Optometrist 152W00000X 9452TG TX Primary
Low Vision Rehabilitation Optometrist 152WL0500X 9452TG TX

Addresses

Primary practice location

6851 Virginia Pkwy Ste 101
McKinney, TX 75071

Mailing address

6851 Virginia Pkwy Ste 101
McKinney, TX 75071-5622
Phone (214) 865-6266

Other practice location 1

619 S Marion Ave
Lake City, FL 32025-5808
Phone (214) 924-8524

Other practice location 2

619 S Marion Ave
Lake City, FL 32025-5808
Phone (214) 924-8524

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
I20180904000811 TX Practitioner - Optometry 0143570606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blink Eyecare LLCGroup PAC ID 2062648231, 3 clinicians

Practice addresses (Care Compare)

6956 Mediterranean Dr
Suite 100
McKinney, TX 75072-5574
Phone (214) 865-6266

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9452TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blink Eyecare LLC Optometrist CurrentSince Jul 1, 2018 Accepting new patients

Locations

6851 Virginia Pkwy
Ste 101
McKinney, TX 75071
Phone (214) 865-6266

6956 Mediterranean Dr
Ste 100
McKinney, TX 75072
Phone (214) 865-6266

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1881124329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 VIRGINIA PKWY STE 101",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715622",
            "telephone_number": "214-865-6266",
            "fax_number": "214-865-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 VIRGINIA PKWY STE 101",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75071",
            "telephone_number": "214-865-6266",
            "fax_number": "214-865-6305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 S Marion Ave",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320255808",
            "country_code": "US",
            "telephone_number": "214-924-8524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 S Marion Ave",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320255808",
            "country_code": "US",
            "telephone_number": "214-924-8524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRYDER",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9452TG",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "TX",
            "license": "9452TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.