Organization Active NPI

Amarillo I Care, PC

  • Optometrist
  • Amarillo, TX
National Provider Identifier
1154759454
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4641TG Issued in TX
Legal business name
AMARILLO I CARE, PC
Practice address
3501 S Soncy Rd
Suite 100
Amarillo, TX 79119-6407
Phone
(806) 352-3157
Fax
(806) 358-0041
NPI assigned
Oct 23, 2013
Last updated
Oct 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Christine English O'Connor, ODNPI 1497792246
Title
Ceo
Phone
(803) 352-3157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4641TG TX Primary

Addresses

Primary practice location

3501 S Soncy Rd
Suite 100
Amarillo, TX 79119-6407

Mailing address

3501 S Soncy Rd
Suite 100
Amarillo, TX 79119-6407
Phone (806) 352-3157

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140122000561 TX Part B Supplier - Clinic/Group Practice 7719115633 Receives reassigned benefits from 2 practitioners
Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory

Locations

3501 S Soncy Rd
Ste 100
Amarillo, TX 79119
Phone (806) 352-3157

3501 S Soncy Rd
Ste 100A
Amarillo, TX 79119
Phone (806) 352-3157

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1154759454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD",
            "address_2": "SUITE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196407",
            "telephone_number": "806-352-3157",
            "fax_number": "806-358-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD",
            "address_2": "SUITE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196407",
            "telephone_number": "806-352-3157",
            "fax_number": "806-358-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILLO I CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ENGLISH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-352-3157",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4641TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.