NPIMap

Organization Active NPI

Columbus Optical Company, LTD.

  • Durable Medical Equipment & Medical Supplies
  • Sealy, TX
National Provider Identifier
1124085477
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COLUMBUS OPTICAL COMPANY, LTD.
Practice address
2879 Highway 36 S
Sealy, TX 77474-4342
Phone
(979) 885-0665
Fax
(979) 885-4110
NPI assigned
Apr 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Robert G Burton
Title
Chief Operating Officer
Phone
(979) 732-5771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2879 Highway 36 S
Sealy, TX 77474-4342

Mailing address

100 Sweetbriar Dr
Columbus, TX 78934-3008
Phone (979) 732-5771

Other identifiers 1

IdentifierTypeStateIssuer
141463306MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930100321 TX DME Supplier - Physician - OphthalmologyDME Supplier - Optician 7214048735 Practice locations: Sealy, TX

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Columbus Optical Company2879 Highway 36 S, Sealy, TX 77474-4342(979) 885-0665 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Does not accept assignmentParticipating since Feb 20, 2001

National Provider Directory

National Provider Directory
Tax ID family
Columbus Optical Company LTD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2879 Highway 36 S
Sealy, TX 77474
Phone (979) 885-0665

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1124085477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SWEETBRIAR DR",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789343008",
            "telephone_number": "979-732-5771",
            "fax_number": "979-732-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2879 HIGHWAY 36 S",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "774744342",
            "telephone_number": "979-885-0665",
            "fax_number": "979-885-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS OPTICAL COMPANY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "979-732-5771"
    },
    "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": "141463306",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sealy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.