Organization Active NPI

Oneopto TX 4 PLLC

  • Optometrist
  • Odessa, TX
National Provider Identifier
1033082466
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ONEOPTO TX 4 PLLC
Practice address
4015 Penbrook St
Odessa, TX 79762-5917
Phone
(432) 362-3133
Fax
(432) 362-4818
NPI assigned
Sep 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Jeffrey Grigsby
Title
Optometrist
Phone
(432) 694-5259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4015 Penbrook St
Odessa, TX 79762-5917

Mailing address

4015 Penbrook St
Odessa, TX 79762-5917
Phone (432) 362-3133

Other names 1

  • Odessa Vision Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Odessa Vision Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1033082466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 PENBROOK ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625917",
            "telephone_number": "432-362-3133",
            "fax_number": "432-362-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 PENBROOK ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625917",
            "telephone_number": "432-362-3133",
            "fax_number": "432-362-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEOPTO TX 4 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "GRIGSBY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "432-694-5259"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odessa Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.