Organization Active NPI

Constance Crossnoe, OD, PA

  • Optometrist
  • Lubbock, TX
National Provider Identifier
1073707576
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5386TG Issued in TX
Legal business name
CONSTANCE CROSSNOE, OD, PA
Practice address
4410 19TH St Ste 140
Lubbock, TX 79407-2444
Phone
(806) 771-2020
Fax
(806) 771-3581
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Dr. Constance Crossnoe, O.D.
Title
Owner/President
Phone
(806) 771-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5386TG TX Primary

Addresses

Primary practice location

4410 19TH St Ste 140
Lubbock, TX 79407-2444

Mailing address

4410 19TH St Ste 140
Lubbock, TX 79407-2444
Phone (806) 771-2020

Other names 1

  • Crossnoe Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

4410 19th St
Ste 140
Lubbock, TX 79407
Phone (806) 771-2020

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1073707576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 19TH ST STE 140",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072444",
            "telephone_number": "806-771-2020",
            "fax_number": "806-771-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 19TH ST STE 140",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072444",
            "telephone_number": "806-771-2020",
            "fax_number": "806-771-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANCE CROSSNOE, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "CROSSNOE",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "806-771-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5386TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossnoe Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.