J. Carl Norris, OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4091TG Issued in TX

Legal business name

J. CARL NORRIS, OD PC

Practice address

1238 N Pacific St
Mineola, TX 75773-1002

Phone

(903) 569-5432

Fax

(903) 569-2994

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Andy Mark Hawari, ODNPI 1417033069

Title

President

Phone

(903) 569-5432

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mineola Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Andy Mark Hawari, O.D.

  • Optometrist
  • Mineola, TX
  • NPI 1417033069
  Medicare reassignment NPD Authorized official
• William Carey Brice, OD

  • Optometrist
  • Athens, TX
  • NPI 1902406721
  Medicare reassignment NPD

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1407985369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757730547",
            "telephone_number": "903-569-5432",
            "fax_number": "903-569-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 N PACIFIC ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757731002",
            "telephone_number": "903-569-5432",
            "fax_number": "903-569-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. CARL NORRIS, OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "HAWARI",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-569-5432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4091TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00D53C",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG7745",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mineola Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hopkins County Hospital District
• Alicia Marie Hopps, MA,LPC
• Erika Morgan Huddle, MD
• Jennifer Lenae Hurt-Frazier, FNP
• Morgan Hyatt, RD,LD
• J.L. Miguez, Inc.
• Richard A Jameson, PA
• JMS Home Medical Supply, LLC
• JMS Rentals, Inc.
• Jamie Johnson, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.