Texarkana Eye Care Center LLP

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TEXARKANA EYE CARE CENTER LLP

Doing business as

Vision Source of Texarkana

Practice address

4401 Galleria Oaks Dr
Texarkana, TX 75503-4675

Phone

(903) 838-9063

Fax

(903) 838-9063

NPI assigned

May 27, 2006

Last updated

Oct 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Allen, O.D.NPI 1245239904

Title

President

Phone

(903) 276-7753

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Vision Source of Texarkana Doing business as

Medicare fee-for-service enrollment

Enrolled in TX, AR3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Texarkana Eye Care Center LLP2 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.

• Texarkana Eye Care Center LLP

  dba ArkLaTex Eyes- New Boston

  • Optometrist
  • New Boston, TX
  • NPI 1104599430
  NPD tax ID

Locations

Practitioners 4

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.

• Mark Allen, O.D.

  • Optometrist
  • Texarkana, TX
  • NPI 1245239904

  AR

  Medicare reassignment Care Compare group Authorized official
• James H Moser, O.D.

  • Optometrist
  • Texarkana, TX
  • NPI 1972502763
  Medicare reassignment Care Compare group
• Briley B. Hearn, OD

  • Optometrist
  • Texarkana, TX
  • NPI 1801515879
  Medicare reassignment NPD
• Amanda Lundy

  • Occupational Therapist
  • Texarkana, TX
  • NPI 1336796994
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1285681304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 GALLERIA OAKS DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034675",
            "telephone_number": "903-838-9063",
            "fax_number": "903-838-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 GALLERIA OAKS DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034675",
            "telephone_number": "903-838-9063",
            "fax_number": "903-838-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXARKANA EYE CARE CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-276-7753",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183465701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163420722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Source of Texarkana",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vision Source of Texarkana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Texarkana Emergency Medicine Physicians,PA
• Texarkana Emergency Physicians PLLC
• Texarkana ER, LLC (Texarkana Emergency Center & Hospital)
• Texarkana Eye Associates
• Texarkana Eye Associates
• Texarkana Family Practice, P.a.
• Texarkana Gastroenterology Consultants, PA
• Texarkana Health & Wellness, LLC (United Health and Wellness)
• Texarkana Health and Wellness, LLC (United Health and Wellness)
• Texarkana Holistic Counseling PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.