Active NPI
Whole Vision PA
- Optometrist
- Bryan, TX
National Provider Identifier
1336389782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5179T
- Legal business name
- WHOLE VISION PA
- Practice address
- 643 N Harvey Mitchell Pkwy
Bryan, TX 77807-1012 - Phone
- (979) 822-5000
- Fax
- (979) 822-5002
- NPI assigned
- Feb 25, 2009
- 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
- Judy Hughes, O.D.
- Title
- President
- Phone
- (512) 586-3611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5179T | TX | Primary |
Addresses
Primary practice location
643 N Harvey Mitchell Pkwy
Bryan, TX 77807-1012
Mailing address
4509 Warwick LN
Bryan, TX 77802-5665
Phone (512) 586-3611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2864365-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
13740 Research Blvd
Ste Q4
Austin, TX 78750
Phone (512) 219-1700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437091200000",
"number": "1336389782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4509 WARWICK LN",
"city": "BRYAN",
"state": "TX",
"postal_code": "778025665",
"telephone_number": "512-586-3611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "643 N HARVEY MITCHELL PKWY",
"city": "BRYAN",
"state": "TX",
"postal_code": "778071012",
"telephone_number": "979-822-5000",
"fax_number": "979-822-5002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLE VISION PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-25",
"last_updated": "2015-07-17",
"status": "A",
"authorized_official_last_name": "HUGHES",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "512-586-3611",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "5179T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2864365-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.