Organization Active NPI

Prestige Vision

  • Corneal and Contact Management Optometrist
  • Rowlett, TX
National Provider Identifier
1225319247
Registry record updated Sep 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
7707T Issued in TX
Legal business name
PRESTIGE VISION
Practice address
2317 Southbay Cir
Rowlett, TX 75088-5531
Phone
(214) 728-6716
NPI assigned
Sep 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2011

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

Authorized official

Name
Ms. Roxy Markose, O.D.
Title
Owner
Phone
(214) 728-6716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 7707T TX Primary

Addresses

Primary practice location

2317 Southbay Cir
Rowlett, TX 75088-5531

Mailing address

601 S Plano Rd
Richardson, TX 75081-4512
Phone (214) 613-5204

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315008000000",
    "number": "1225319247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S PLANO RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750814512",
            "telephone_number": "214-613-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 SOUTHBAY CIR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750885531",
            "telephone_number": "214-728-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-03",
        "last_updated": "2011-09-03",
        "status": "A",
        "authorized_official_last_name": "MARKOSE",
        "authorized_official_first_name": "ROXY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-728-6716",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "7707T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2011; 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.