Organization Active NPI

Renaissance Eyecare

  • Corneal and Contact Management Optometrist
  • Fort Worth, TX
National Provider Identifier
1093052128
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
TX2519TG
Legal business name
RENAISSANCE EYECARE
Practice address
2900 East Berry Street Suite 101
Fort Worth, TX 76105-4755
Phone
(817) 534-6232
Fax
(817) 534-6423
NPI assigned
Jan 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Authorized official

Name
Dr. Emery C Huber, O.D
Title
Owner
Phone
(817) 905-7197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X TX2519TG Primary

Addresses

Primary practice location

2900 East Berry Street Suite 101
Fort Worth, TX 76105-4755

Mailing address

2900 East Berry Street Suite 101
Fort Worth, TX 76105-4755
Phone (817) 534-6232

National Provider Directory

National Provider Directory

Locations

2900 E Berry St
#101
Fort Worth, TX 76105
Phone (817) 633-2020

2900 E Berry St
Ste 101
Fort Worth, TX 76105
Phone (817) 534-6232

2080 N Highway
Ste 125
Grand Prairie, TX 75050
Phone (817) 633-2020

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1093052128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 EAST BERRY STREET SUITE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761054755",
            "telephone_number": "817-534-6232",
            "fax_number": "817-534-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 EAST BERRY STREET SUITE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761054755",
            "telephone_number": "817-534-6232",
            "fax_number": "817-534-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "EMERY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-905-7197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": "TX2519TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.