Texarkana Eye Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

2625 Issued in OK

Legal business name

TEXARKANA EYE ASSOCIATES

Practice address

1425 E Lincoln Rd
Suite a-1
Idabel, OK 74745-7345

Phone

(580) 286-6000

Fax

(903) 831-6145

NPI assigned

May 5, 2010

Last updated

Jan 14, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

TEXARKANA EYE ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Dr. Elvin W. Fenton, OD

Title

Owner

Phone

(903) 838-0783

Specialties & licenses 1

Addresses

Part of

Texarkana Eye Associate

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1023336849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032328",
            "telephone_number": "903-838-0783",
            "fax_number": "903-831-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 E LINCOLN RD",
            "address_2": "SUITE A-1",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457345",
            "telephone_number": "580-286-6000",
            "fax_number": "903-831-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXARKANA EYE ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXARKANA EYE ASSOCIATES",
        "enumeration_date": "2010-05-05",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "ELVIN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-838-0783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Idabel, OK
• Providers in Idabel, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.