INTEGRATIVE EYECARE
NPI 1952724924
Optometrist in Southlake, TX

Q: What is Roanoke Family Eyecare's NPI number?

The NPI number for Roanoke Family Eyecare is 1952724924. It was assigned to this organization in the NPPES registry on January 28, 2014. The provider is doing business as Integrative Eyecare.

Q: What is Roanoke Family Eyecare's specialty?

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

Active since January 28, 2014

361 W SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092(817) 491-4994 Get Directions Write a Review

NPPES record last updated: December 2, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Integrative Eyecare NPPES

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

INTEGRATIVE EYECARE (NPI 1952724924) is a healthcare organization registered as an optometrist in Southlake, Texas and active in the NPI registry since January 2014. The organization lists Nancy Davis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952724924

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameROANOKE FAMILY EYECARE

Location Address361 W SOUTHLAKE BLVD STE 100Southlake, TX 76092-1481

Mailing AddressPo Box 630917Irving, TX 75063-0137 · (972) 693-0677

Phone(817) 491-4994

Organization SubpartNo

Authorized OfficialNancy DavisCeo · (817) 491-4994

Enumeration DateJanuary 28, 2014

Last NPPES UpdateDecember 2, 2023

NPPES CertifiedDecember 2, 2023

✔ NPI 1952724924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TX · 5822-T

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.

361 W SOUTHLAKE BLVD STE 100, Southlake, TX 76092

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Other Names 1

Doing Business AsIntegrative Eyecare

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 Molina Healthcare.Insurance ›

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)

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

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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.

StateEnrollment IDDue date

StateTexasEnrollment IDO20140702002296Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Integrative Eyecare, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nancy Davis, O.D.

Optometry

NPI 1558474726

361 W SOUTHLAKE BLVD STE 100
Southlake, TX 76092

(817) 491-4994

✔ PECOS✔ Accepts MedicareSame 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 Roanoke Family Eyecare's NPI number?

The NPI number for Roanoke Family Eyecare is 1952724924. It was assigned to this organization in the NPPES registry on January 28, 2014. The provider is doing business as Integrative Eyecare.

Where is Roanoke Family Eyecare located?

Roanoke Family Eyecare is located at 361 W Southlake Blvd Ste 100, Southlake, TX 76092. The listed phone number is (817) 491-4994.

What is Roanoke Family Eyecare's specialty?

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

Is Roanoke Family Eyecare enrolled in Medicare?

Yes. Roanoke Family Eyecare is registered in the Medicare PECOS enrollment system.

When is Roanoke Family Eyecare'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 November 30, 2026. 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 Roanoke Family Eyecare?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Roanoke Family 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Roanoke Family Eyecare accept?

Health plans from Molina Healthcare list Roanoke Family 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 Roanoke Family Eyecare was last updated on December 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.