Organization Active NPI

Pro Optical Inc

  • Optician
  • Corpus Christi, TX
National Provider Identifier
1124049010
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
42144 Issued in TX
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

Updated by the provider on Jul 21, 2008

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)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1124049010MedicaidTX
020208701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260113001604 TX DME Supplier - Optician 9537645247 Practice locations: Corpus Christi, TX

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Pro Optical Inc.5718 McArdle Rd, Corpus Christi, TX 78412-3488(361) 994-0776 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Does not accept assignmentParticipating since Nov 10, 2025

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.