Nacogdoches Eye Associates, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

06101TG Issued in TX

Legal business name

NACOGDOCHES EYE ASSOCIATES, PLLC

Practice address

3208 N University Dr
Nacogdoches, TX 75965-2633

Phone

(936) 564-7661

Fax

(936) 564-6622

NPI assigned

Dec 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ashley Halbert Risner, OD

Title

Co Owner

Phone

(936) 564-7661

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Thomas Lowery, OD

  • Optometrist
  • Nacogdoches, TX
  • NPI 1679313191
  Medicare reassignment Care Compare group NPD
• Melanie G Rushing, O.D.

  • Optometrist
  • Nacogdoches, TX
  • NPI 1770572703
  Medicare reassignment Care Compare group NPD
• Gerardo Saldana Jr., O.D.

  • Optometrist
  • Nacogdoches, TX
  • NPI 1164411195
  Medicare reassignment Care Compare group NPD
• Ryan Self, OD

  • Optometrist
  • Nacogdoches, TX
  • NPI 1356639009
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1356645964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632600",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759632600",
            "telephone_number": "936-564-7661",
            "fax_number": "936-564-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652633",
            "telephone_number": "936-564-7661",
            "fax_number": "936-564-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NACOGDOCHES EYE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-23",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "RISNER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "HALBERT",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "936-564-7661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06101TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.