Full Vision Optical & Repair

Primary specialty

OptometristTaxonomy code 152W00000X

License

B0115-2733 Issued in TX

Legal business name

FULL VISION OPTICAL & REPAIR

Practice address

896 Horizon Blvd
Socorro, TX 79927-4787

Phone

(915) 226-4999

NPI assigned

Oct 17, 2017

Last updated

Oct 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cesar Ivan Venegas, ODNPI 1821509225

Title

Owner

Phone

(915) 226-4999

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, and the practitioner matching its NPPES authorized official.

• Cesar Ivan Venegas

  • Optometrist
  • Socorro, TX
  • NPI 1821509225
  NPD (past) Authorized official

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1174034185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13299 MORISSEY WAY",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799285830",
            "telephone_number": "915-226-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 HORIZON BLVD",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "799274787",
            "telephone_number": "915-226-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL VISION OPTICAL & REPAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "VENEGAS",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-226-4999",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "B0115-2733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Express Phlebotomy Services
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• Paola Flores
• Friends and Neighbors II
• FV Denta PLLC (Kids Dental & Orthodontics)
• FV Dental, PLLC (Kids Dental & Orthodontics)
• Claudia Maria Garcia
• Esperanza Garcia
• Girasol Support Services, LLC.

• Optometrist in Socorro, TX
• Providers in Socorro, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.