Organization Active NPI

Paul J Rea, O.D., P.C.

  • Corneal and Contact Management Optometrist
  • North Richland Hills, TX
National Provider Identifier
1003060690
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
TX2446 Issued in TX
Legal business name
PAUL J REA, O.D., P.C.
Practice address
5755 Rufe Snow Dr Ste 100
North Richland Hills, TX 76180-6055
Phone
(817) 656-1111
Fax
(817) 656-4018
NPI assigned
Nov 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paul J Rea, O.D.
Title
Optometrist
Phone
(817) 656-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X TX2446 TX Primary

Addresses

Primary practice location

5755 Rufe Snow Dr Ste 100
North Richland Hills, TX 76180-6055

Mailing address

5755 Rufe Snow Dr Ste 100
North Richland Hills, TX 76180-6055
Phone (817) 656-1111

Other identifiers 1

IdentifierTypeStateIssuer
083RNOtherTXBCBSTX

National Provider Directory

National Provider Directory

Locations

5755 Rufe Snow Dr
Ste 100
North Richlnd Hls, TX 76180
Phone (817) 301-5745

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1003060690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 RUFE SNOW DR STE 100",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806055",
            "telephone_number": "817-656-1111",
            "fax_number": "817-656-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 RUFE SNOW DR STE 100",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806055",
            "telephone_number": "817-656-1111",
            "fax_number": "817-656-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J REA, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-09",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "REA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "817-656-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "TX2446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "083RN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.