Individual provider Active NPI

Terri-Ann Bailey Echague, O.D.

  • Optometrist
  • Weston, FL
National Provider Identifier
1952557555
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002027 Issued in VA
Practice address
3961 Nighthawk Dr
Weston, FL 33331-4023
Phone
(954) 593-0902
NPI assigned
Aug 14, 2008
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009947 NY
Optometrist 152W00000X TPOP14 FL
Optometrist 152W00000X OPT0003621 CO
Optometrist 152W00000X TA2961 MD
Optometrist 152W00000X 125904 IA
Optometrist 152W00000X 4901005778 MI
Optometrist 152W00000X 3734-35 WI
Optometrist 152W00000X OPT003617 GA
Optometrist 152W00000X 0618002027 VA Primary

Addresses

Primary practice location

3961 Nighthawk Dr
Weston, FL 33331-4023

Mailing address

8853 Woodgrove Ridge CT
Boynton Beach, FL 33473-4872
Phone (954) 593-0902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CO, MD, DC, NY, IA, MI, GA8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20110615000513 VA Practitioner - Optometry 2567520661 Reassigns benefits to 2 organizations
I20220228001795 CO Practitioner - Optometry 2567520661 Reassigns benefits to 4 organizations
I20240222002555 MD Practitioner - Optometry 2567520661 Reassigns benefits to 1 organization
I20240222002980 DC Practitioner - Optometry 2567520661 Reassigns benefits to 1 organization
I20240416003995 NY Practitioner - Optometry 2567520661 Reassigns benefits to 2 organizations
I20240612003342 IA Practitioner - Optometry 2567520661 Reassigns benefits to 1 organization
I20240724002836 MI Practitioner - Optometry 2567520661 Reassigns benefits to 3 organizations
I20241122001459 GA Practitioner - Optometry 2567520661 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT0003621COMDOptometrist
OPT003617GAMDOptometrist
4901005778MIMDOptometrist
009947NYMDOptometrist
0618002027VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Feb 9, 2024 Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Mar 14, 2024 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Mar 4, 2024 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince Jul 16, 2024 Accepting new patients
Community Health Center of Fort Dodge Inc. Current Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Sep 19, 2024 Accepting new patients
Heritage Optical Center Inc Optometrist CurrentSince Dec 1, 2024 Accepting new patients
Best Vision, Inc Optometrist CurrentSince May 23, 2024 Accepting new patients
Visionworks, Inc Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Community Health Center of Fort Dodge, Inc. CurrentSince Nov 26, 2024 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Mar 4, 2024 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Mar 4, 2024 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Mar 4, 2024 Accepting new patients
Empire Vision Center, Inc CurrentSince Apr 2, 2024 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Apr 2, 2024 Accepting new patients
Myeyedr Optometry of Colorado PC Optometrist CurrentSince Mar 14, 2024 Accepting new patients
Community Health Center of Fort Dodge, Inc. CurrentSince Nov 26, 2024 Accepting new patients
Myeyedr Optometry of Georgia LLC Optometrist CurrentSince Sep 19, 2024 Accepting new patients
Eye Care Associates LLC Optometrist CurrentSince May 3, 2024 Accepting new patients
Valley Healthcare System CurrentSince Feb 1, 2025 Accepting new patients
Lynchburg Vision Associates PC Optometrist CurrentSince Jul 13, 2022 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Valley Healthcare System Inc CurrentSince Feb 1, 2025 Accepting new patients
Family First Vision Care Colorado LLC Optometrist CurrentSince Feb 29, 2024 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Mar 4, 2024 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince Jul 16, 2024 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Wisconsin Vision, LLC Optometrist PastSince Jun 15, 2021 Accepting new patients
Visionworks, Inc. Optometrist PastSince Mar 17, 2018 Accepting new patients

Locations (25 of 36)

1130 Lake Plaza Dr
Ste 130
Colorado Springs, CO 80906
Phone (719) 578-2020

200 W County Line Rd
Ste 150
Highlands Ranch, CO 80129
Phone (303) 794-2433

8441 S Yosemite St
Ste 2
Lone Tree, CO 80124
Phone (303) 768-8721

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

1600 Fort Benning Rd
Columbus, GA 31903
Phone (706) 322-9599

303 N Main St
Clarion, IA 50525
Phone (515) 532-3343

24 S Main St
Dayton, IA 50530
Phone (515) 547-2974

306 W Broadway St
Eagle Grove, IA 50533
Phone (515) 576-6500

126 N 10th St
Fort Dodge, IA 50501
Phone (515) 576-6500

404 N Federal Ave
Mason City, IA 50401
Phone (641) 450-0601

1313 2nd St
Perry, IA 50220
Phone (515) 465-4203

223 W 7th St
Spencer, IA 51301
Phone (515) 576-6500

6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206

15431 Emerald Way
Bowie, MD 20716
Phone (301) 805-6132

6804 Race Track Rd
Bowie, MD 20715
Phone (301) 262-1210

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

19010 Livernois Ave
Detroit, MI 48221
Phone (313) 863-9581

800 S Brown St
Jackson, MI 49203
Phone (517) 787-8890

3620 28th St SE
Kentwood, MI 49512
Phone (616) 512-0323

48873 Hayes Rd
Shelby Township, MI 48315
Phone (586) 247-2121

23360 Eureka Rd
Taylor, MI 48180
Phone (734) 287-0024

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

12469 Olean Rd
Ste 1
Chaffee, NY 14030
Phone (716) 496-7454

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

Organizations & group practices 41

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.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1952557555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8853 WOODGROVE RIDGE CT",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334734872",
            "telephone_number": "954-593-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3961 NIGHTHAWK DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333314023",
            "telephone_number": "954-593-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHAGUE",
        "first_name": "TERRI-ANN",
        "middle_name": "BAILEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009947",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "TPOP14",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT0003621",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2961",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "125904",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005778",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3734-35",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003617",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.