Stanley Wayne Cavett, O.D.
Individual provider Active NPI Optometrist · Early, TX
NPI 1013092121 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013092121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2594T (TX)
- Practice address
- 310 Early Blvd
Early, TX 76802-2120 - Phone
- (325) 646-7996
- Fax
- (325) 646-3992
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2594T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consolidated Opticals of Texas, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2594T | TX | Yes |
Addresses
Primary practice location
310 Early Blvd
Early, TX 76802-2120
Mailing address
5 Stonebridge Cir
Brownwood, TX 76801-6037
Phone (325) 646-8671
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124059-03 | Medicaid | TX |
Other providers in Early, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.