TEXAS RETINA ASSOCIATES
NPI 1821007675
Ophthalmology in Plano, TX
About Texas Retina Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEXAS RETINA ASSOCIATES (NPI 1821007675) is a healthcare organization registered as an ophthalmology in Plano, Texas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 11, 2028 and lists Jefferey Brockette, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Texas Retina Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Texas Retina Associates, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (18)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2117288
Texas Retina Associates · Plano, TXFrequently 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 Texas Retina Associates's NPI number?
The NPI number for Texas Retina Associates is 1821007675. It was assigned to this organization in the NPPES registry on August 7, 2006.
Where is Texas Retina Associates located?
Texas Retina Associates is located at 1708 Coit Rd Suite 215, Plano, TX 75075. The listed phone number is (972) 596-9222.
What is Texas Retina Associates's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Texas Retina Associates enrolled in Medicare?
Yes. Texas Retina Associates is registered in the Medicare PECOS enrollment system.
When is Texas Retina Associates's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Texas Retina Associates?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians, all in Ophthalmology, reassign their Medicare billing to Texas Retina Associates. 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, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Texas Retina Associates hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2117288) is associated with this NPI, valid through August 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Texas Retina Associates was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Texas Retina Associates · NPI 1821007675
Ophthalmology organization in Plano, Texas. Organization record, active in the CMS NPPES registry since August 7, 2006.
## Identity
- **NPI:** 1821007675 (Entity type: Organization)
- **Enumerated:** August 7, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Jefferey Brockette, CEO
## Practice location
- **Address:** 1708 COIT RD, SUITE 215, Plano, TX 75075-5024
- **Phone:** (972) 596-9222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 18 clinicians (Ophthalmology) reassign Medicare billing to this organization (form CMS-855R); 9 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2023
- **Other identifiers:** Medicaid 094850704 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821007675) · Data from the CMS NPPES public registry.