MEDICARE: PLANO VISION PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1598536344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLANO VISION PLLC

Provider Business Mailing Address
First Line	:	7101 NW EXPRESSWAY STE 335
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-1561
Country	:	US
Telephone Number	:	214-380-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	5280 TOWNE SQUARE DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-0037
Country	:	US
Telephone Number	:	214-380-2020
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	LUKE REBENITSCH
Credential	:
Telephone Number	:	701-471-0796

Provider Enumeration Date	:	01/10/2024
Last Update Date	:	10/21/2025

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Directions to “PLANO VISION PLLC ” Practice Location

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