Individual provider Active NPI

Cheryl Simmons, OD

  • Optometrist
  • Mesquite, TX
National Provider Identifier
1891829131
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5839T Issued in TX
Practice address
1765 N Town East Blvd Ste 112
Mesquite, TX 75150-4151
Phone
(972) 270-0892
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5839T TX Primary

Addresses

Primary practice location

1765 N Town East Blvd Ste 112
Mesquite, TX 75150-4151

Mailing address

1765 N Town East Blvd Ste 112
Mesquite, TX 75150-4151
Phone (972) 270-0892

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
I20130809000351 TX Practitioner - Optometry 9638311384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
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)

1437 Hwy 6
Suite 400
Sugar Land, TX 77478-5131
Phone (281) 265-9090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5839TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Dec 14, 2020 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

8800 US Highway 380
Ste 500
Cross Roads, TX 76227
Phone (940) 488-4228

5330 E Mockingbird Ln
Ste 130
Dallas, TX 75206
Phone (214) 341-9955

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

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

6850 N Shiloh Rd
Garland, TX 75044
Phone (972) 496-4403

3385 Naaman School Rd
Garland, TX 75040
Phone (972) 469-2020

1138 Belt Line Rd
Ste 230
Garland, TX 75040
Phone (972) 268-7938

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

1437 Highway 6
Ste 400
Sugar Land, TX 77478
Phone (281) 265-9090

803 Woodbridge Pkwy
Ste 1400
Wylie, TX 75098
Phone (972) 442-2250

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1891829131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 N TOWN EAST BLVD STE 112",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504151",
            "telephone_number": "972-270-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 N TOWN EAST BLVD STE 112",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504151",
            "telephone_number": "972-270-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5839T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.