Individual provider Active NPI

Kathryn Lyn Barcelo, OD

  • Optometrist
  • Plano, TX
National Provider Identifier
1992282388
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9563 Issued in TX
Practice address
5425 W Spring Creek Pkwy
Plano, TX 75024-4236
Phone
(972) 378-4104
NPI assigned
Jul 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9563 TX Primary

Addresses

Primary practice location

5425 W Spring Creek Pkwy
Plano, TX 75024-4236

Mailing address

5044 Tennyson Pkwy
Ste B
Plano, TX 75024-2953
Phone (972) 378-4104

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
I20180926002970 TX Practitioner - Optometry 1557612785 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9563TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Eyecare, LLC Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Todd Brantley, OD PA Optometrist CurrentSince Jul 16, 2018 Accepting new patients

Locations

605 River Rock Blvd
Murfreesboro, TN 37128

4195 Milam St
Beaumont, TX 77707
Phone (409) 842-4450

205 S Preston Rd
Ste 120
Celina, TX 75009
Phone (972) 382-2020

6649 N Riverside Dr
Ft Worth, TX 76137
Phone (817) 431-5778

321 N Shiloh Rd
Garland, TX 75042
Phone (972) 276-9571

9602 Huffmeister Rd
Houston, TX 77095
Phone (281) 463-9001

5044 Tennyson Pkwy
Ste B
Plano, TX 75024
Phone (972) 378-4104

609 Rio Concho Dr
San Angelo, TX 76903
Phone (325) 245-4151

6602 Memorial Dr
Texas City, TX 77591
Phone (409) 935-2451

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": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1992282388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5044 TENNYSON PKWY",
            "address_2": "STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242953",
            "telephone_number": "972-378-4104",
            "fax_number": "972-378-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244236",
            "telephone_number": "972-378-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCELO",
        "first_name": "KATHRYN",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.