40:31 Vision, L.L.C;

Primary specialty

OptometristTaxonomy code 152W00000X

License

7204T Issued in TX

Legal business name

40:31 VISION, L.L.C;

Practice address

4612 S Coulter St
Amarillo, TX 79119-6403

Phone

(806) 677-0175

Fax

(806) 677-0177

NPI assigned

Dec 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Erin A Taylor, O.D.

Title

Therepeutic Optometrist

Phone

(806) 677-0175

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1225368046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196403",
            "telephone_number": "806-677-0175",
            "fax_number": "806-677-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "40:31 VISION, L.L.C;",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "THEREPEUTIC OPTOMETRIST",
        "authorized_official_telephone_number": "806-677-0175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7204T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.