Organization Active NPI

Travis Street Optical, PLLC

  • Optometrist
  • Sherman, TX
National Provider Identifier
1407213945
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5148TG Issued in TX
Legal business name
TRAVIS STREET OPTICAL, PLLC
Practice address
1405 N Travis St
Sherman, TX 75092-3757
Phone
(903) 893-8306
Fax
(903) 891-3443
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Janine M Nelms
Title
Office Manager
Phone
(903) 893-8306

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 5593TG TX
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 5148TG TX Primary

Addresses

Primary practice location

1405 N Travis St
Sherman, TX 75092-3757

Mailing address

PO Box 1151
Sherman, TX 75091-1151
Phone (903) 893-8306

Other names 1

  • Travis Street Optical Other name

National Provider Directory

National Provider Directory

Locations

1405 N Travis St
Sherman, TX 75092
Phone (903) 893-3544

1313 N Travis St
Ste 100
Sherman, TX 75092
Phone (903) 893-8306

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1407213945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1151",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750911151",
            "telephone_number": "903-893-8306",
            "fax_number": "903-891-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 N TRAVIS ST",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750923757",
            "telephone_number": "903-893-8306",
            "fax_number": "903-891-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS STREET OPTICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "NELMS",
        "authorized_official_first_name": "JANINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-893-8306"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5593TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5148TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Travis Street Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.