Consolidated Opticals of Texas

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

CONSOLIDATED OPTICALS OF TEXAS

Practice address

2806 S W S Young Dr
Suite a
Killeen, TX 76542-2010

Phone

(254) 634-4800

Fax

(254) 634-4142

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Victoria Taylor

Title

General Manager

Phone

(254) 778-9100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TSO of Killeen Doing business as

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1407930258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 S W S YOUNG DR",
            "address_2": "SUITE A",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765422010",
            "telephone_number": "254-634-4800",
            "fax_number": "254-634-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 S W S YOUNG DR",
            "address_2": "SUITE A",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765422010",
            "telephone_number": "254-634-4800",
            "fax_number": "254-634-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSOLIDATED OPTICALS OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "254-778-9100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0935173-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TSO of Killeen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TSO of Killeen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Killeen, TX
• Providers in Killeen, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.