Active NPI
Dr. Laura Stancik, Optometrist, P. C.
- Optometrist
- Wichita Falls, TX
National Provider Identifier
1265564355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5596T
- Legal business name
- DR. LAURA STANCIK, OPTOMETRIST, P. C.
- Practice address
- 4210 Kell Blvd
Ste 108
Wichita Falls, TX 76309-4813 - Phone
- (940) 692-9696
- Fax
- (940) 692-7303
- NPI assigned
- Mar 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Becky Sue Clifton, ABOC
- Title
- Manager
- Phone
- (940) 692-9696
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5596T | TX | Primary |
Addresses
Primary practice location
4210 Kell Blvd
Ste 108
Wichita Falls, TX 76309-4813
Mailing address
4210 Kell Blvd
Ste 108
Wichita Falls, TX 76309-4813
Phone (940) 692-9696
Other names 1
- Texas State Optical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4210 Kell Blvd
Ste 108
Wichita Falls, TX 76309
Phone (940) 692-9696
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Amarillo, TX
- NPI 1306228242
-
- Optometrist
- Wichita Falls, TX
- NPI 1396846267
-
- Optometrist
- Wichita Falls, TX
- NPI 1205927704
-
- Optometrist
- Austin, TX
- NPI 1124139522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367452800000",
"number": "1265564355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4210 KELL BLVD",
"address_2": "STE 108",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763094813",
"telephone_number": "940-692-9696",
"fax_number": "940-692-7303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4210 KELL BLVD",
"address_2": "STE 108",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763094813",
"telephone_number": "940-692-9696",
"fax_number": "940-692-7303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. LAURA STANCIK, OPTOMETRIST, P. C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2013-05-02",
"status": "A",
"authorized_official_last_name": "CLIFTON",
"authorized_official_first_name": "BECKY",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "940-692-9696",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "ABOC"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "5596T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Texas State Optical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.