Alp Vision Care Services, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

7032TG Issued in TX

Legal business name

ALP VISION CARE SERVICES, PLLC

Doing business as

Precision Eye Care

Practice address

150 E Highway 67
Suite 120
Duncanville, TX 75137-4476

Phone

(832) 651-9016

NPI assigned

Dec 10, 2012

Last updated

Dec 20, 2012By 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

Anthony L Peterson, ODNPI 1255474219

Title

Owner Optometrist

Phone

(832) 651-9016

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Precision Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Alp Vision Care Services PLLC2 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.

• Alp Vision Care Services, PLLC

  dba Precision Eye Care

  • Optometrist
  • Desoto, TX
  • NPI 1609156595
  NPD tax ID

Locations

Practitioners 1

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.

• Anthony Peterson, OD

  • Optometrist
  • Duncanville, TX
  • NPI 1255474219
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1316282841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WHITE FALLS DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751157850",
            "telephone_number": "832-651-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E HIGHWAY 67",
            "address_2": "SUITE 120",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751374476",
            "telephone_number": "832-651-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALP VISION CARE SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER  OPTOMETRIST",
        "authorized_official_telephone_number": "832-651-9016",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7032TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196604604",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "80991Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.