Active NPI
Oculens of Garland Inc.
- Eyewear Supplier
- Garland, TX
National Provider Identifier
1053431742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 751617934
- Legal business name
- OCULENS OF GARLAND INC.
- Practice address
- 1626 Forest LN S
Suite a
Garland, TX 75042-7961 - Phone
- (972) 494-2830
- NPI assigned
- Mar 29, 2007
- Last updated
- Jul 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Roger D. Corley
- Title
- Owner
- Phone
- (972) 494-2830
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 751617934 | TX | Primary |
Addresses
Primary practice location
1626 Forest LN S
Suite a
Garland, TX 75042-7961
Mailing address
1626 Forest LN S
Suite a
Garland, TX 75042-7961
Phone (972) 494-2830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0866394-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930014102 | TX | DME Supplier - Physician - Ophthalmology | 5193843332 | Practice locations: Garland, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Oculens of Garland | Prosthetic Lenses: Conventional Eyeglasses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1626 Forest Ln S
Ste A
Garland, TX 75042
Phone (972) 494-2830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215388800000",
"number": "1053431742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 FOREST LN S",
"address_2": "SUITE A",
"city": "GARLAND",
"state": "TX",
"postal_code": "750427961",
"telephone_number": "972-494-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 FOREST LN S",
"address_2": "SUITE A",
"city": "GARLAND",
"state": "TX",
"postal_code": "750427961",
"telephone_number": "972-494-2830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCULENS OF GARLAND INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2008-07-07",
"status": "A",
"authorized_official_last_name": "CORLEY",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-494-2830",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "TX",
"license": "751617934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0866394-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.