Active NPI
Pro Optical Inc
- Optician
- Corpus Christi, TX
National Provider Identifier
1124049010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 42144
- Legal business name
- PRO OPTICAL INC
- Practice address
- 5718 McArdle Rd Ste 103
Corpus Christi, TX 78412-3429 - Phone
- (361) 994-0776
- Fax
- (361) 994-0458
- NPI assigned
- Jul 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Pro
- Title
- Optican
- Phone
- (361) 994-0776
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 42144 | TX | Primary |
Addresses
Primary practice location
5718 McArdle Rd Ste 103
Corpus Christi, TX 78412-3429
Mailing address
5718 McArdle Rd Ste 103
Corpus Christi, TX 78412-3429
Phone (361) 994-0776
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124049010 | Medicaid | TX | |
| 020208701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260113001604 | TX | DME Supplier - Optician | 9537645247 | Practice locations: Corpus Christi, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pro Optical Inc. | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
5718 McArdle Rd
Ste 103
Corpus Christi, TX 78412
Phone (361) 994-0776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216598400000",
"number": "1124049010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5718 MCARDLE RD STE 103",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784123429",
"telephone_number": "361-994-0776",
"fax_number": "361-994-0458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5718 MCARDLE RD STE 103",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784123429",
"telephone_number": "361-994-0776",
"fax_number": "361-994-0458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO OPTICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-23",
"last_updated": "2008-07-21",
"status": "A",
"authorized_official_last_name": "PRO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OPTICAN",
"authorized_official_telephone_number": "361-994-0776",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "TX",
"license": "42144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124049010",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020208701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
- Perla Prince
- Priscilla Vasquez & Joe a. Flores (Vasquez-Flores Home Health Care)
- Earl James Pritachrd Gonzalez
- Pro Heart Healthcare, LLC.
- Pro Medical Supplies and Services
- Amber Yvonne Pro
- Prodigy Hospitalist Services, PA
- Professionals Inserting Central Catheters, Inc.
- Prontomed Clinic, PLLC
- Mayra B Propst, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.