Vision Optics PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

04937T Issued in TX

Legal business name

VISION OPTICS PC

Practice address

1305 Sidney Baker St Ste B
Kerrville, TX 78028-2737

Phone

(830) 792-5880

Fax

(830) 792-4950

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Peter J Rothermel, O.D.

Title

Principal

Phone

(830) 792-5880

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1013015114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 SIDNEY BAKER ST STE B",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780282737",
            "telephone_number": "830-792-5880",
            "fax_number": "830-792-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 SIDNEY BAKER ST STE B",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780282737",
            "telephone_number": "830-792-5880",
            "fax_number": "830-792-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION OPTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "ROTHERMEL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "830-792-5880",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "04937T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066137301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093056201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80933Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.