Lone Star Family Vision

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

3751TG Issued in TX

Legal business name

LONE STAR FAMILY VISION

Practice address

533 N Valley Mills Dr
Waco, TX 76710-5234

Phone

(254) 776-3937

NPI assigned

Sep 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Clarence Widmann, O.D.NPI 1922010800

Title

Sole Proprietor

Phone

(254) 776-3937

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Clarence Louis Widmann, O.D.

  • Optometrist
  • Waco, TX
  • NPI 1922010800
  NPD (past) Authorized official

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1154655108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 N VALLEY MILLS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105234",
            "telephone_number": "254-776-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 N VALLEY MILLS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105234",
            "telephone_number": "254-776-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR FAMILY VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "WIDMANN",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "254-776-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "3751TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn D Lockhart
• Michael Allen Loden, MD
• Kristy B Lohr, LPC
• Elizabeth Keller Lolley, MD
• Stephanie Londenberg
• Lone Star Surgical Assisting LLC
• Lone Star TMS LLC (Lone Star TMS)
• Kaitlin Long
• Robert Long, MD
• William S Longino, D.D.S.

• Eyewear Supplier in Waco, TX
• Providers in Waco, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.