Keith J. Ermis OD PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KEITH J. ERMIS OD PC

Doing business as

The Family Vision Center

Practice address

1120 N Fulton St
Wharton, TX 77488-3128

Phone

(979) 532-0805

Fax

(979) 532-2084

NPI assigned

Jul 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Keith J Ermis, OD PC

Title

Optometrist

Phone

(979) 532-0805

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Family Vision Center Doing business as

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1114189032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N FULTON ST",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774883128",
            "telephone_number": "979-532-0805",
            "fax_number": "979-532-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N FULTON ST",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774883128",
            "telephone_number": "979-532-0805",
            "fax_number": "979-532-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH J. ERMIS OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "ERMIS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "979-532-0805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD PC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124299-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Family Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Franklin M. Jenkins, LPC
• Catherine Ann Jimenez, PTA
• Jaime Johnson, LMSW
• Jubilee Healthcare Inc
• Jubilee Healthcare Inc
• John R. Kieler Jr., DDS
• Michelle Koehler
• L S & Associates LLC (L S Homes)
• Laboratory Corporation of America
• Rachel Lackey, RN

• Durable Medical Equipment & Medical Supplies in Wharton, TX
• Providers in Wharton, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.