DR. LORI BOURQUE OPTOMETRIST
NPI 1184604928
Optometrist in Dallas, TX
About Dr. Lori Bourque Optometrist NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LORI BOURQUE OPTOMETRIST (NPI 1184604928) is an individual optometrist in Dallas, Texas, licensed in Texas (5376T) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Lori Bourque Optometrist is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Lori Bourque reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75240
- Reassigned Medicare billing, Texas enrollment
- 396 clinicians in this Medicare group
Allen, TX 75013
- Reassigned Medicare billing, Texas enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lori Bourque's NPI number?
The NPI number for Lori Bourque is 1184604928. It was assigned to this individual provider in the NPPES registry on January 18, 2006.
Where is Lori Bourque located?
Lori Bourque practices at 6446 Lbj Fwy, Dallas, TX 75240. The listed phone number is (972) 960-2020.
What is Lori Bourque's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Lori Bourque enrolled in Medicare?
Yes. Lori Bourque is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Lori Bourque's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lori Bourque reassigns Medicare benefits to 2 organizations: Med Southwest, PLLC (Dallas, TX) and Allen Eye Associates PA (Allen, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lori Bourque's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lori Bourque accept?
Health plans from Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Lori Bourque as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lori Bourque was last updated on December 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Lori Bourque, OPTOMETRIST · NPI 1184604928
Optometrist provider in Dallas, Texas. Individual provider, active in the CMS NPPES registry since January 18, 2006.
## Identity
- **NPI:** 1184604928 (Entity type: Individual)
- **Enumerated:** January 18, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 5376T (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6446 LBJ FWY, Dallas, TX 75240-6407
- **Phone:** (972) 960-2020 · **Fax:** (972) 960-2063
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Med Southwest, PLLC (NPI 1265077382, Dallas, TX); Allen Eye Associates PA (NPI 1114937331, Allen, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Houston - College Of Optometry, class of 1995
## Record status
- **NPPES last updated:** December 3, 2007
- **Other identifiers:** Other 80502Q (TX); Medicare UPIN U67717 (TX); Medicare PIN 80502Q (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1184604928) · Data from the CMS NPPES public registry.