Organization Active NPI

Oculofacial Plastic Surgery, PLLC

  • Ophthalmology Physician
  • Nacogdoches, TX
National Provider Identifier
1396983722
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
J2526 Issued in TX
Legal business name
OCULOFACIAL PLASTIC SURGERY, PLLC
Practice address
1105 N University Dr
Nacogdoches, TX 75961-4211
Phone
(936) 560-5437
NPI assigned
Jan 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Dr. Jon Curtis Caster, M.D.NPI 1558328914
Title
Owner/MD
Phone
(936) 560-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X J2526 TX Primary
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0099X J2526 TX

Addresses

Primary practice location

1105 N University Dr
Nacogdoches, TX 75961-4211

Mailing address

PO Box 631624
Nacogdoches, TX 75963-1624
Phone (936) 560-5437

National Provider Directory

National Provider Directory

Locations

1105 N University Dr
Ste 102
Nacogdoches, TX 75961
Phone (936) 560-5437

1105 N University Dr
Nacogdoches, TX 75961
Phone (936) 560-5437

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1396983722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631624",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759631624",
            "telephone_number": "936-560-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614211",
            "telephone_number": "936-560-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULOFACIAL PLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "CASTER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "936-560-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "J2526",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "TX",
            "license": "J2526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.