OPTICAL BOUTIQUE AND EYECARE
NPI 1407472376
Optometrist in Desoto, TX

Q: What is Optical Boutique And Eyecare's NPI number?

The NPI number for Optical Boutique And Eyecare is 1407472376. It was assigned to this organization in the NPPES registry on June 17, 2020.

Q: What is Optical Boutique And Eyecare's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since June 17, 2020

1233 E PLEASANT RUN RD STE A, DESOTO, TX 75115(972) 223-2020(972) 228-1860 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 9, 2020, Jun 17, 2020 (2 updates tracked since 2020).

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About Optical Boutique And Eyecare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTICAL BOUTIQUE AND EYECARE (NPI 1407472376) is a healthcare organization registered as an optometrist in Desoto, Texas and active in the NPI registry since June 2020. The organization lists Danielle Gloster, Owner, as its authorized official.

NPPES Registry Identity

NPI1407472376

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameOPTICAL BOUTIQUE AND EYECARE

Location Address1233 E PLEASANT RUN RD STE ADesoto, TX 75115-4200

Mailing AddressPo Box 444Lancaster, TX 75146-0444 · (972) 223-2020 · Fax (972) 228-1860

Phone(972) 223-2020

Fax(972) 228-1860

Organization SubpartNo

Authorized OfficialDanielle GlosterOwner · (972) 223-2020

Enumeration DateJune 17, 2020

Last NPPES UpdateNovember 9, 20202 updates tracked since enumeration

NPPES CertifiedNovember 9, 2020

✔ NPI 1407472376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X

Also ListedTechnician/Technologist · Optometric AssistantTaxonomy 156FX1201X

Also ListedTechnician/Technologist · Optometric TechnicianTaxonomy 156FX1202X

Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X

1233 E PLEASANT RUN RD STE A, Desoto, TX 75115

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Optical Boutique And Eyecare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Optical Boutique And Eyecare, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Charles Foster, OD

Optometry

NPI 1578666012

1233 E PLEASANT RUN RD
Desoto, TX 75115

(972) 223-2020

✔ PECOSSame address

Danielle Gloster Morris, O.D.

Optometry

NPI 1720384498

1233 E PLEASANT RUN RD STE A
Desoto, TX 75115

(972) 223-2020

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Optical Boutique And Eyecare's NPI number?

The NPI number for Optical Boutique And Eyecare is 1407472376. It was assigned to this organization in the NPPES registry on June 17, 2020.

Where is Optical Boutique And Eyecare located?

Optical Boutique And Eyecare is located at 1233 E Pleasant Run Rd Ste A, Desoto, TX 75115. The listed phone number is (972) 223-2020.

What is Optical Boutique And Eyecare's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Optical Boutique And Eyecare enrolled in Medicare?

Yes. Optical Boutique And Eyecare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optical Boutique And Eyecare?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Optical Boutique And Eyecare. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Optical Boutique And Eyecare accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list Optical Boutique And Eyecare 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 Optical Boutique And Eyecare was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.