Organization Active NPI

Lubbock Vision Center, Inc.

  • Optometrist
  • Corpus Christi, TX
National Provider Identifier
1063755809
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LUBBOCK VISION CENTER, INC.
Practice address
4802 S Padre Island Dr
Corpus Christi, TX 78411-4202
Phone
(361) 693-5859
Fax
(361) 288-7132
NPI assigned
Mar 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Dr. Aaron Roy Larsen, O.D.
Title
Director
Phone
(361) 693-5859

Specialties & licenses 1

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

Addresses

Primary practice location

4802 S Padre Island Dr
Corpus Christi, TX 78411-4202

Mailing address

4802 S Padre Island Dr
Corpus Christi, TX 78411
Phone (361) 693-5859

Other names 1

  • Corpus Christi Vision Center, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

4938 S Staples St
Ste E4
Corpus Christi, TX 78411
Phone (361) 334-3575

4802 Spid Dr
Corpus Christi, TX 78411
Phone (361) 693-5859

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1063755809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78411",
            "telephone_number": "361-693-5859",
            "fax_number": "361-288-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114202",
            "telephone_number": "361-693-5859",
            "fax_number": "361-288-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBBOCK VISION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "361-693-5859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corpus Christi Vision Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.