Ellis County Optical, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

H-1191 Issued in TX

Legal business name

ELLIS COUNTY OPTICAL, INC.

Doing business as

Classic Optical

Practice address

101 YMCA Dr
Waxahachie, TX 75165-5124

Phone

(972) 937-9757

Fax

(972) 938-2966

NPI assigned

Nov 1, 2007

Last updated

Nov 1, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

DAVID W. REAGANAs reported in NPPES

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

Authorized official

Name

Dr. Paige A Pollard, O.D.

Title

Dr.

Phone

(682) 518-9393

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Classic Optical Doing business as

Part of

Regan Eye Center

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• David W Reagan

  • Ophthalmology Physician
  • Waxahachie, TX
  • NPI 1083835813
  NPPES parent name

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1033398433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 YMCA DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655124",
            "telephone_number": "972-937-9757",
            "fax_number": "972-938-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 YMCA DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655124",
            "telephone_number": "972-937-9757",
            "fax_number": "972-938-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS COUNTY OPTICAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID W. REAGAN",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "POLLARD",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "682-518-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "H-1191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00936T",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Classic Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellis County Coalition for Health Options (Hope Clinic)
• Ellis County Family Dentistry PLLC (Ellis County Family Dentistry)
• Ellis County Hearing Clinic
• Ellis County Home Medical Equipment, LLC (Ellis County Home Medical Equipment)
• Ellis County Imaging, LLC
• Ellis County Surgical Associates
• Ellis County Surgical Associates PA
• Ellis Emergency Physicians PLLC
• Ellis Surgical Pavilion, LLC
• Brooke Zane Loftis Elmore, DDS

• Eyewear Supplier in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.