Organization Active NPI

Denison Optical, Inc.

  • Optometrist
  • Denison, TX
National Provider Identifier
1164647426
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
03347 Issued in TX
Legal business name
DENISON OPTICAL, INC.
Practice address
2515 W Morton St
Denison, TX 75020-1403
Phone
(903) 465-1810
Fax
(903) 465-1811
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Dr. Deborah H. Herrron, O.D.
Title
Owner
Phone
(903) 465-1810

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 03347 TX Primary
Eyewear Supplier 332H00000X 3347T TX

Addresses

Primary practice location

2515 W Morton St
Denison, TX 75020-1403

Mailing address

2515 W Morton St
Denison, TX 75020-1403
Phone (903) 465-1810

Other identifiers 1

IdentifierTypeStateIssuer
093206301MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1164647426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 W MORTON ST",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201403",
            "telephone_number": "903-465-1810",
            "fax_number": "903-465-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 W MORTON ST",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201403",
            "telephone_number": "903-465-1810",
            "fax_number": "903-465-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISON OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "HERRRON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-465-1810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "03347",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "3347T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093206301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.