Colleyville Vision Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

3802TG Issued in TX

Legal business name

COLLEYVILLE VISION ASSOCIATES

Practice address

1213 Hall Johnson Rd
Suite 300
Colleyville, TX 76034-5847

Phone

(817) 428-0400

NPI assigned

Jan 25, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Christine Hickman

Title

Office Administrator

Phone

(817) 428-0400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Carolyn Lee Helbert Green

  • Optometrist
  • Colleyville, TX
  • NPI 1063421584
  Medicare reassignment Care Compare group NPD
• Crystin Webb, O.D.

  • Optometrist
  • Colleyville, TX
  • NPI 1114300878
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1336326966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HALL JOHNSON RD",
            "address_2": "SUITE 300",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345847",
            "telephone_number": "817-428-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HALL JOHNSON RD",
            "address_2": "SUITE 300",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345847",
            "telephone_number": "817-428-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEYVILLE VISION ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "817-428-0400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3802TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleyville Eye Corporation (Simply Eyes)
• Colleyville Medical Center LLC (First Choice Emergency Room)
• Colleyville Physical Therapy and Sports Rehab, PC
• Colleyville Place Assisted Living
• Colleyville Psychiatric Associates PLLC
• Josana Elizabeth Collins, PA-C
• Colverse Iom LLC
• Compass Youth and Family Psychological Services LLC
• Concord Anesthesia Services PLLC
• Katie M Coniglio, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.