NPIMap

Organization Active NPI

Plaza Optical

  • Eyewear Supplier
  • Corpus Christi, TX
National Provider Identifier
1225396641
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PLAZA OPTICAL
Practice address
4707 Everhart Rd
Suite 105
Corpus Christi, TX 78411-2736
Phone
(361) 225-2695
Fax
(361) 225-2632
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Mr. Mark D GuerraNPI 1134499098
Title
Owner
Phone
(361) 225-2695

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
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

4707 Everhart Rd
Suite 105
Corpus Christi, TX 78411-2736

Mailing address

4707 Everhart Rd
Suite 105
Corpus Christi, TX 78411-2736
Phone (361) 225-2695

National Provider Directory

National Provider Directory

Locations

4707 Everhart Rd
Ste 105
Corpus Christi, TX 78411
Phone (361) 225-2695

Practitioners & affiliated clinicians

Practitioners 2

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": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1225396641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 EVERHART RD",
            "address_2": "SUITE 105",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112736",
            "telephone_number": "361-225-2695",
            "fax_number": "361-225-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 EVERHART RD",
            "address_2": "SUITE 105",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112736",
            "telephone_number": "361-225-2695",
            "fax_number": "361-225-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-225-2695",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 24, 2012; 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.