Xtreme Optics LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

DR4133 Issued in TX

Legal business name

XTREME OPTICS LLC

Practice address

111 W 3Rd Ave
Suite D
Corsicana, TX 75110-4667

Phone

(903) 641-0060

Fax

(866) 970-3838

NPI assigned

Oct 1, 2012

Last updated

Oct 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amber Dorsey, LICENSED OPTICIANNPI 1972934479

Title

Sole Member/Owner

Phone

(903) 641-0060

Specialties & licenses 1

Addresses

Locations

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.

• Amber Dorsey

  • Optician
  • Corsicana, TX
  • NPI 1972934479
  Authorized official Same address or phone

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1114278066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W 3RD AVE",
            "address_2": "SUITE D",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751104667",
            "telephone_number": "903-641-0060",
            "fax_number": "866-970-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 3RD AVE",
            "address_2": "SUITE D",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751104667",
            "telephone_number": "903-641-0060",
            "fax_number": "866-970-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTREME OPTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "903-641-0060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICENSED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "DR4133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald S. Willig, M.D.
• Alan Chungyi Wong, D.M.D.
• Shea Leigh Woods, FNP
• Justin C Wright, DDS
• Karol Wade Wright, LPC
• Nathan Thomas Yost, ATC, LAT
• Locke Maguire Zayne

• Eyewear Supplier in Corsicana, TX
• Providers in Corsicana, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.