Organization Active NPI

Nederland Vision Care, PC

  • Optometrist
  • Nederland, TX
National Provider Identifier
1194890392
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4798T Issued in TX
Legal business name
NEDERLAND VISION CARE, PC
Doing business as
Today's Vision
Practice address
1617 S Highway 69
Nederland, TX 77627-7839
Phone
(409) 721-6897
Fax
(409) 729-5947
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Dr. Mary Delino, O.D.
Title
Optometrist
Phone
(409) 721-6897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4798T TX Primary

Addresses

Primary practice location

1617 S Highway 69
Nederland, TX 77627-7839

Mailing address

1617 S Highway 69
Nederland, TX 77627-7839
Phone (409) 721-6897

Other names 1

  • Today's Vision Doing business as

National Provider Directory

National Provider Directory

Locations

1617 S Highway 69
Nederland, TX 77627
Phone (409) 721-6897

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1194890392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 S HIGHWAY 69",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277839",
            "telephone_number": "409-721-6897",
            "fax_number": "409-729-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 S HIGHWAY 69",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277839",
            "telephone_number": "409-721-6897",
            "fax_number": "409-729-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDERLAND VISION CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "DELINO",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "409-721-6897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4798T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Today's Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nederland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.