NPIMap

Organization Active NPI

NE Texas Eye Associates PLLC

Doing business as 1st Eye Care

  • Optometrist
  • McKinney, TX
National Provider Identifier
1891181202
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5621TG Issued in TX
Legal business name
NE TEXAS EYE ASSOCIATES PLLC
Doing business as
1st Eye Care
Practice address
2301 Eldorado Pkwy
Suite 200
McKinney, TX 75070-4362
Phone
(972) 540-2015
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Shawn Michael Kelly, OD
Title
Owner
Phone
(972) 540-2015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5621TG TX Primary

Addresses

Primary practice location

2301 Eldorado Pkwy
Suite 200
McKinney, TX 75070-4362

Mailing address

2301 Eldorado Pkwy
Suite 200
McKinney, TX 75070-4362
Phone (972) 540-2015

Other names 1

  • 1st Eye Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1891181202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 ELDORADO PKWY",
            "address_2": "SUITE 200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704362",
            "telephone_number": "972-540-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ELDORADO PKWY",
            "address_2": "SUITE 200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704362",
            "telephone_number": "972-540-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NE TEXAS EYE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-540-2015",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5621TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.