Organization Active NPI

Fowler Optical Inc

  • Optician
  • Texarkana, TX
National Provider Identifier
1124131511
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
FOWLER OPTICAL INC
Practice address
4224 Texas Blvd
Texarkana, TX 75503-3013
Phone
(903) 793-2166
Fax
(903) 794-3222
NPI assigned
Aug 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Hazel Frances Fowler
Title
Owner Sec Treasurer
Phone
(903) 793-2166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary

Addresses

Primary practice location

4224 Texas Blvd
Texarkana, TX 75503-3013

Mailing address

4224 Texas Blvd
Texarkana, TX 75503-3013
Phone (903) 793-2166

Other identifiers 1

IdentifierTypeStateIssuer
506633OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

4224 Texas Blvd
Texarkana, TX 75503
Phone (903) 280-1111

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124131511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 TEXAS BLVD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033013",
            "telephone_number": "903-793-2166",
            "fax_number": "903-794-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 TEXAS BLVD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033013",
            "telephone_number": "903-793-2166",
            "fax_number": "903-794-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOWLER OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER SEC TREASURER",
        "authorized_official_telephone_number": "903-793-2166",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "506633",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.