Organization Active NPI

20/20 Vision Services of Texas, PA

  • Ophthalmology Physician
  • Holbrook, NY
National Provider Identifier
1154091023
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
20/20 VISION SERVICES OF TEXAS, PA
Practice address
20 Peachtree Court, Suite 103H
Holbrook, NY 11741-4616
Phone
(646) 448-3390
NPI assigned
Sep 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Mr. Charles Scott
Title
Ceo Manager
Phone
(646) 448-3390

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

20 Peachtree Court, Suite 103H
Holbrook, NY 11741-4616

Mailing address

20 Peachtree Court, Suite 103H
Holbrook, NY 11741-4616
Phone (646) 448-3390

National Provider Directory

National Provider Directory

Locations

6101 Gateway Blvd W
Ste 1
El Paso, TX 79925

1501 W Kelly Ave
Pharr, TX 78577
Phone (956) 354-3900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1154091023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE COURT, SUITE 103H",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616",
            "telephone_number": "646-448-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE COURT, SUITE 103H",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616",
            "telephone_number": "646-448-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20/20 VISION SERVICES OF TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO MANAGER",
        "authorized_official_telephone_number": "646-448-3390",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.