Organization Active NPI

Stellar Vision Corporation

  • Optometrist
  • Granbury, TX
National Provider Identifier
1063822252
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STELLAR VISION CORPORATION
Practice address
735 E Highway 377
Granbury, TX 76048-2578
Phone
(817) 964-3455
Fax
(817) 964-3465
NPI assigned
Apr 28, 2014
Last updated
Jun 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Authorized official

Name
Rajal Noorali, O.D.NPI 1891051660
Title
Therapeutic Optometrist
Phone
(469) 417-9921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

735 E Highway 377
Granbury, TX 76048-2578

Mailing address

2608 Museum Way Apt 3516
Fort Worth, TX 76107-3085
Phone (469) 417-9921

National Provider Directory

National Provider Directory

Locations

735 E US Highway 377
Granbury, TX 76048
Phone (817) 573-3701

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1063822252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 MUSEUM WAY APT 3516",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073085",
            "telephone_number": "469-417-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 E HIGHWAY 377",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482578",
            "telephone_number": "817-964-3455",
            "fax_number": "817-964-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR VISION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "NOORALI",
        "authorized_official_first_name": "RAJAL",
        "authorized_official_title_or_position": "THERAPEUTIC OPTOMETRIST",
        "authorized_official_telephone_number": "469-417-9921",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.