NPIMap

Organization Active NPI

San Jacinto Professional Optical, Inc

  • Contact Lens Technician/Technologist
  • Baytown, TX
National Provider Identifier
1316083736
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Contact Lens Technician/TechnologistTaxonomy code 156FC0800X
License
CP00264 Issued in TX
Legal business name
SAN JACINTO PROFESSIONAL OPTICAL, INC
Practice address
4301 Garth Rd
Suite 103
Baytown, TX 77521-3153
Phone
(281) 427-1147
Fax
(281) 422-4959
NPI assigned
Jan 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Martin J Arisco, MD
Title
President
Phone
(281) 427-1147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Technician/Technologist 156FC0800X CP00264 TX Primary

Addresses

Primary practice location

4301 Garth Rd
Suite 103
Baytown, TX 77521-3153

Mailing address

4301 Garth Rd
Suite 103
Baytown, TX 77521-3153
Phone (281) 427-1147

Other identifiers 2

IdentifierTypeStateIssuer
84761OtherTXSPECTERA IDENTIFICATION#
4674OtherTXDAVIS VISION ID #

National Provider Directory

National Provider Directory

Locations

4301 Garth Rd
Ste 103
Baytown, TX 77521
Phone (281) 427-1147

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316083736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 GARTH RD",
            "address_2": "SUITE 103",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213153",
            "telephone_number": "281-427-1147",
            "fax_number": "281-422-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 GARTH RD",
            "address_2": "SUITE 103",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213153",
            "telephone_number": "281-427-1147",
            "fax_number": "281-422-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JACINTO PROFESSIONAL OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARISCO",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-427-1147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FC0800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "TX",
            "license": "CP00264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA  IDENTIFICATION#",
            "identifier": "84761",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION ID #",
            "identifier": "4674",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.