Organization Active NPI

Texoma Eye Associates LLP

  • Ophthalmology Physician
  • Sherman, TX
National Provider Identifier
1063635902
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TEXOMA EYE ASSOCIATES LLP
Practice address
2203 N FM 1417
Sherman, TX 75092-7392
Phone
(903) 892-2020
Fax
(903) 892-0633
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Clinton Arvin Long, M.D.NPI 1083773428
Title
Partner
Phone
(903) 892-2020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X K5338 TX
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2203 N FM 1417
Sherman, TX 75092-7392

Mailing address

2203 N FM 1417
Sherman, TX 75092-7392
Phone (903) 892-2020

Other identifiers 2

IdentifierTypeStateIssuer
0060JKOtherTXBCBS OF TX GROUP
156867701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080131000155 TX Part B Supplier - Clinic/Group Practice 6507948403 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Allen, TX; Sherman, TX
O20100930030887 TX DME Supplier - Physician - OphthalmologyDME Supplier - Optician 6507948403 Practice locations: Sherman, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

981 State Highway 121
Ste 1120
Allen, TX 75013
Phone (214) 666-4663

170 N Preston Rd
Ste 10
Prosper, TX 75078
Phone (903) 892-2020

Interoperability endpoints

  • Direct secure messaging: clong@longvisioncenter.intellechartdirect.net
  • Direct secure messaging: ovillafane@longvisioncenter.intellechartdirect.net

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1063635902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 N FM 1417",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927392",
            "telephone_number": "903-892-2020",
            "fax_number": "903-892-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 N FM 1417",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927392",
            "telephone_number": "903-892-2020",
            "fax_number": "903-892-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA EYE ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "ARVIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "903-892-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K5338",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX GROUP",
            "identifier": "0060JK",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156867701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.