Organization Active NPI

J & SN PA

  • Optometrist
  • Rockwall, TX
National Provider Identifier
1033394275
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4198T Issued in TX
Legal business name
J & SN PA
Doing business as
Vision Center of Heath
Practice address
316 S Goliad St Ste 205
Rockwall, TX 75087-3944
Phone
(972) 772-7711
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Dr. Joel T. Naegele, O.D.NPI 1629055942
Title
Optometrist
Phone
(972) 772-7711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4198T TX Primary

Addresses

Primary practice location

316 S Goliad St Ste 205
Rockwall, TX 75087-3944

Mailing address

316 S Goliad St
Ste 205
Rockwall, TX 75087-3760
Phone (972) 772-7711

Other names 1

  • Vision Center of Heath Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050720000555 TX Part B Supplier - Clinic/Group Practice 5496782575 Receives reassigned benefits from 1 practitioner
Practice locations: Rockwall, TX

National Provider Directory

National Provider Directory

Locations

316 S Goliad St
Ste 205
Rockwall, TX 75087
Phone (972) 772-7711

Practitioners & affiliated clinicians

Practitioners 1

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": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1033394275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S GOLIAD ST",
            "address_2": "STE 205",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873760",
            "telephone_number": "972-772-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S GOLIAD ST STE 205",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873944",
            "telephone_number": "972-772-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & SN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "NAEGELE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "972-772-7711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4198T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Center of Heath",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.