Organization Active NPI

John E Streit MD PA

  • Ophthalmology Physician
  • Lubbock, TX
National Provider Identifier
1225337165
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G8450 Issued in TX
Legal business name
JOHN E STREIT MD PA
Practice address
4014 22ND PL
Suite 4
Lubbock, TX 79410-1103
Phone
(806) 795-3937
Fax
(806) 795-4813
NPI assigned
Mar 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Dr. John E Streit, MDNPI 1538262928
Title
Medical Doctor
Phone
(806) 795-3937

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G8450 TX Primary

Addresses

Primary practice location

4014 22ND PL
Suite 4
Lubbock, TX 79410-1103

Mailing address

4014 22ND PL
Suite 4
Lubbock, TX 79410-1103
Phone (806) 795-3937

Other identifiers 1

IdentifierTypeStateIssuer
133103505MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111118000415 TX Part B Supplier - Clinic/Group Practice 6709050206 Receives reassigned benefits from 1 practitioner
Practice locations: Lubbock, TX

National Provider Directory

National Provider Directory

Locations

4014 22nd Pl
Ste 4
Lubbock, TX 79410
Phone (806) 795-3937

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1225337165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 22ND PL",
            "address_2": "SUITE 4",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101103",
            "telephone_number": "806-795-3937",
            "fax_number": "806-795-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 22ND PL",
            "address_2": "SUITE 4",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101103",
            "telephone_number": "806-795-3937",
            "fax_number": "806-795-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E STREIT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "STREIT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "806-795-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G8450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133103505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.