NPIMap

Organization Active NPI

Subia Eye Center PLLC

Doing business as Permian Basin EyeCare

  • Optometrist
  • Odessa, TX
National Provider Identifier
1033394432
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6260TG Issued in TX
Legal business name
SUBIA EYE CENTER PLLC
Doing business as
Permian Basin EyeCare
Practice address
2260 Linda Ave
Ste. 201
Odessa, TX 79763-2663
Phone
(432) 333-3937
Fax
(432) 337-3937
NPI assigned
Jan 3, 2008
Last updated
Jan 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Dr. Russell D Subia, ODNPI 1689773574
Title
Owner
Phone
(432) 333-3937

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
Optometrist 152W00000X 6260TG TX Primary

Addresses

Primary practice location

2260 Linda Ave
Ste. 201
Odessa, TX 79763-2663

Mailing address

2260 Linda Ave
Ste. 201
Odessa, TX 79763-2663
Phone (432) 333-3937

Other identifiers 4

IdentifierTypeStateIssuer
00297HOtherTXMEDICARE
154996601MedicaidTX
81716QOtherTXBLUE CROSS BLUE SHIELD
0079FHOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Permian Basin EyeCare Doing business as

National Provider Directory

National Provider Directory

Locations

2260 Linda Ave
Ste 201
Odessa, TX 79763
Phone (432) 333-3937

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1033394432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 LINDA AVE",
            "address_2": "STE. 201",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797632663",
            "telephone_number": "432-333-3937",
            "fax_number": "432-337-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 LINDA AVE",
            "address_2": "STE. 201",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797632663",
            "telephone_number": "432-333-3937",
            "fax_number": "432-337-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBIA EYE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "SUBIA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-333-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6260TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00297H",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154996601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "81716Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0079FH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Permian Basin EyeCare",
            "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 Jan 28, 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.