NPIMap

Organization Active NPI

Medical Center Eye Associates, P.a.

  • Optometrist
  • Amarillo, TX
National Provider Identifier
1063442010
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MEDICAL CENTER EYE ASSOCIATES, P.A.
Practice address
1900 S Coulter Drive
Suite I
Amarillo, TX 79106-1751
Phone
(806) 355-9411
Fax
(806) 322-3451
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Dr. Anthony Vincent Bass, OD
Title
Owner
Phone
(806) 355-9411

Specialties & licenses 1

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

Addresses

Primary practice location

1900 S Coulter Drive
Suite I
Amarillo, TX 79106-1751

Mailing address

1900 S Coulter Drive
Suite I
Amarillo, TX 79106-1751
Phone (806) 355-9411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050802000567 TX Part B Supplier - Clinic/Group Practice 2264460005 Receives reassigned benefits from 4 practitioners
Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory

Locations

1900 S Coulter St
Ste 1
Amarillo, TX 79106
Phone (806) 355-9411

1900 S Coulter St
Ste I
Amarillo, TX 79106
Phone (806) 355-9411

Interoperability endpoints

  • Direct secure messaging: tylersmith@medcentereye.eyefinity-direct.com
  • Direct secure messaging: khargis@medcentereye.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 4

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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1063442010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S COULTER DRIVE",
            "address_2": "SUITE I",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061751",
            "telephone_number": "806-355-9411",
            "fax_number": "806-322-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S COULTER DRIVE",
            "address_2": "SUITE I",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061751",
            "telephone_number": "806-355-9411",
            "fax_number": "806-322-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER EYE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-355-9411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.