Primary Eye Care Center I, LLP

Primary specialty

OptometristTaxonomy code 152W00000X

License

4245TG 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) 585-4582

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Suzanne Marie Correale, O.D.NPI 1487625893

Title

Owner, Managing Partner

Phone

(281) 331-8681

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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
  Medicare reassignment NPD Authorized official
• William Lipsky, M.D.

  • Ophthalmology Physician
  • Webster, TX
  • NPI 1407850464
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1417170390",
    "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": "281-585-4582"
        },
        {
            "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": "281-585-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY EYE CARE CENTER I, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "CORREALE",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, MANAGING PARTNER",
        "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": "4245TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146053701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier View PLLC (Premier Eye and Vision)
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• Prestige Care Center Inc.
• Prestige Care Services
• Primary Eye Care Center I, LLP
• Primary Eye Care Center PLLC
• Prime Caregivers Inc.
• Prospine Chiropractic
• R&N Pharmacy RX LLC (R&N Pharmacy)
• Danielle K Reed

• 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 Nov 17, 2010; 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.