Healthcare Provider Details

I. General information

NPI: 1740560267
Provider Name (Legal Business Name): SIERRA VOGT SUAREZ O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SIERRA NICOLE VOGT O.D.

II. Dates (important events)

Enumeration Date: 08/29/2011
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5926 W PARKER RD STE 400
PLANO TX
75093-6418
US

IV. Provider business mailing address

5926 W PARKER RD STE 400
PLANO TX
75093-6418
US

V. Phone/Fax

Practice location:
  • Phone: 972-599-2020
  • Fax:
Mailing address:
  • Phone: 972-599-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number9942TG
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code152WS0006X
TaxonomySports Vision Optometrist
License Number9942TG
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code152WX0102X
TaxonomyOccupational Vision Optometrist
License Number9942TG
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number9942TG
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number9942TG
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number9942TG
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: