MEDICARE: LINDSAY BERRY OD

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	152W00000X	Optometrist	8742T	TX
2	152W00000X	Optometrist	3166	TN

General Provider Information

NPI Number	:	1679982169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY BERRY OD

Provider Business Mailing Address
First Line	:	12950 DALLAS PKWY STE 900
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75033-4237
Country	:	US
Telephone Number	:	972-440-2428
Fax Number	:	972-433-7026

Provider Business Practice Location Address
First Line	:	12950 DALLAS PKWY STE 900
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75033-4237
Country	:	US
Telephone Number	:	972-440-2428
Fax Number	:	972-433-7026

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2014
Last Update Date	:	01/05/2026

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Directions to “ LINDSAY BERRY OD” Practice Location

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