Organization Active NPI

Frisco Family Vision, PLLC

  • Optometrist
  • Frisco, TX
National Provider Identifier
1962832345
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6714-TG Issued in TX
Legal business name
FRISCO FAMILY VISION, PLLC
Practice address
10150 Legacy Drive
Suite 300
Frisco, TX 75033-6701
Phone
(469) 444-8888
NPI assigned
Nov 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Dana BiedermanNPI 1487696811
Title
Owner/Optometrist
Phone
(469) 444-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6714-TG TX Primary

Addresses

Primary practice location

10150 Legacy Drive
Suite 300
Frisco, TX 75033-6701

Mailing address

10150 Legacy Drive
Suite 300
Frisco, TX 75033-6701
Phone (972) 821-6006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141022001893 TX Part B Supplier - Clinic/Group Practice 6507087236 Receives reassigned benefits from 1 practitioner
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1962832345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 LEGACY DRIVE",
            "address_2": "SUITE 300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750336701",
            "telephone_number": "972-821-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 LEGACY DRIVE",
            "address_2": "SUITE 300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750336701",
            "telephone_number": "469-444-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRISCO FAMILY VISION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "BIEDERMAN",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "469-444-8888"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6714-TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.