Primary Eye Care Center I, LLP

Primary specialty

OptometristTaxonomy code 152W00000X

License

4245T Issued in TX

Legal business name

PRIMARY EYE CARE CENTER I, LLP

Practice address

2800 S Gordon St
Alvin, TX 77511-4731

Phone

(281) 331-8681

Fax

(281) 585-4586

NPI assigned

Sep 6, 2007

Organization subpart

No

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

Authorized official

Name

Suzanne M Correale, O.D.NPI 1487625893

Title

Owner

Phone

(281) 331-8681

Specialties & licenses 1

Addresses

Practitioners 1

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

• Suzanne Marie Correale, OD

  • Optometrist
  • Alvin, TX
  • NPI 1487625893
  NPD Authorized official

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1396930053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S GORDON ST",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775114731",
            "telephone_number": "281-331-8681",
            "fax_number": "281-585-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S GORDON ST",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775114731",
            "telephone_number": "281-331-8681",
            "fax_number": "281-585-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY EYE CARE CENTER I, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "CORREALE",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-331-8681",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4245T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.