Organization Active NPI

Thurmond Eye Associates, PLLC

Doing business as Thurmond Optical

  • Eyewear Supplier
  • Weslaco, TX
National Provider Identifier
1245326701
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
THURMOND EYE ASSOCIATES, PLLC
Doing business as
Thurmond Optical
Practice address
1519 E 6TH St
Weslaco, TX 78596-6605
Phone
(956) 968-3171
Fax
(956) 968-5783
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Dr. Wade Allen Graham, M.D.NPI 1316938434
Title
President
Phone
(956) 968-3171

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

1519 E 6TH St
Weslaco, TX 78596-6605

Mailing address

1519 E 6TH St
Weslaco, TX 78596-6605
Phone (956) 968-3171

Other identifiers 1

IdentifierTypeStateIssuer
066292601MedicaidTX

Other names 1

  • Thurmond Optical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930083989 TX DME Supplier - Physician - Ophthalmology 8921097221 Practice locations: Weslaco, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Thurmond Eye Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1519 E 6th St
Weslaco, TX 78596
Phone (956) 968-3171

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/CW9K53RH

Practitioners & affiliated clinicians

Practitioners 1

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1245326701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 E 6TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966605",
            "telephone_number": "956-968-3171",
            "fax_number": "956-968-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 E 6TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966605",
            "telephone_number": "956-968-3171",
            "fax_number": "956-968-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THURMOND EYE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-968-3171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066292601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thurmond Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.