Organization Active NPI

Hickory Creek Eye Care

  • Optometrist
  • Hickory Creek, TX
National Provider Identifier
1104135672
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5871TG Issued in TX
Legal business name
HICKORY CREEK EYE CARE
Practice address
1035 Hickory Creek Blvd
Ste. a
Hickory Creek, TX 75065-7552
Phone
(940) 497-3937
NPI assigned
Oct 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Dr. Olivia Thuy Le, O.D.NPI 1023177219
Title
President
Phone
(940) 497-3937

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5871TG TX Primary

Addresses

Primary practice location

1035 Hickory Creek Blvd
Ste. a
Hickory Creek, TX 75065-7552

Mailing address

4251 FM 2181 Ste 230-113
Corinth, TX 76210-4219
Phone (940) 497-3937

National Provider Directory

National Provider Directory

Locations

4251 FM 2181
Ste 230113
Corinth, TX 76210
Phone (940) 497-3937

Practitioners & affiliated clinicians

Practitioners 2

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": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1104135672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 FM 2181 STE 230-113",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762104219",
            "telephone_number": "940-497-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 HICKORY CREEK BLVD",
            "address_2": "STE. A",
            "city": "HICKORY CREEK",
            "state": "TX",
            "postal_code": "750657552",
            "telephone_number": "940-497-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY CREEK EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "THUY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-497-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5871TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory Creek, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.