Organization Active NPI

Lone Star Eye Specialists

  • Ophthalmology Physician
  • Frisco, TX
National Provider Identifier
1972088060
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LONE STAR EYE SPECIALISTS
Practice address
11500 State Hwy 121
Unit #720
Frisco, TX 75035
Phone
(972) 362-5577
NPI assigned
Sep 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Authorized official

Name
Dr. Mahdi RostamizadehNPI 1053654384
Title
Medical Doctor/ Owner
Phone
(732) 890-7885

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

11500 State Hwy 121
Unit #720
Frisco, TX 75035

Mailing address

11500 State Hwy 121
Unit #720
Frisco, TX 75035
Phone (732) 890-7885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181113001634 TX Part B Supplier - Clinic/Group Practice 0840544771 Receives reassigned benefits from 1 practitioner
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

11500 State Highway 121
Ste 720
Frisco, TX 75035
Phone (732) 890-7885

11500 State Highway 121
Ste 710
Frisco, TX 75035
Phone (972) 335-9071

Practitioners & affiliated clinicians

Practitioners 1

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": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1972088060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 STATE HWY 121",
            "address_2": "UNIT #720",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "732-890-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 STATE HWY 121",
            "address_2": "UNIT #720",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "972-362-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR EYE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "ROSTAMIZADEH",
        "authorized_official_first_name": "MAHDI",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/ OWNER",
        "authorized_official_telephone_number": "732-890-7885",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "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 Dec 2, 2019; 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.