Organization Active NPI

Aynn L Upton

  • Optometrist
  • Corpus Christi, TX
National Provider Identifier
1194871210
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3996T Issued in TX
Legal business name
AYNN L UPTON
Practice address
5700 S Staples St
Suite C-4
Corpus Christi, TX 78413-3784
Phone
(361) 993-5882
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Aynn L UptonNPI 1487611190
Title
MD
Phone
(361) 993-5882

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3996T TX Primary

Addresses

Primary practice location

5700 S Staples St
Suite C-4
Corpus Christi, TX 78413-3784

Mailing address

5700 S Staples St
Suite C-4
Corpus Christi, TX 78413-3784
Phone (361) 993-5882

Other identifiers 1

IdentifierTypeStateIssuer
00E15QOtherTXBCBS

National Provider Directory

National Provider Directory
Tax ID family
Aynn L Upton2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5700 S Staples St
Ste C4
Corpus Christi, TX 78413
Phone (361) 993-5882

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1194871210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 S STAPLES ST",
            "address_2": "SUITE C-4",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133784",
            "telephone_number": "361-993-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 S STAPLES ST",
            "address_2": "SUITE C-4",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133784",
            "telephone_number": "361-993-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYNN L UPTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "UPTON",
        "authorized_official_first_name": "AYNN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "361-993-5882"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3996T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00E15Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.