College Station Optical, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

02481T Issued in TX

Legal business name

COLLEGE STATION OPTICAL, PC

Practice address

2414 Texas Ave S Ste a
College Station, TX 77840-4145

Phone

(979) 764-0009

Fax

(979) 764-7715

NPI assigned

Nov 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. R. James Maggs, O.D.

Title

Therapeutic Optometrist

Phone

(979) 764-0009

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1437330065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 TEXAS AVE S STE A",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778404145",
            "telephone_number": "979-764-0009",
            "fax_number": "979-764-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 TEXAS AVE S STE A",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778404145",
            "telephone_number": "979-764-0009",
            "fax_number": "979-764-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE STATION OPTICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "MAGGS",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "THERAPEUTIC OPTOMETRIST",
        "authorized_official_telephone_number": "979-764-0009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "02481T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "00E07F",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• College Station I Enterprises, L.L.C.
• College Station III Enterprises, LLC
• College Station Imaging Center
• College Station Isd
• College Station Modern Dentistry PC
• College Station Oral Surgery, PLLC
• College Station Vision Center PLLC
• Megan Comire, PT, DPT
• Natalie Compton
• Rhoda Conant, M.D.

• Optometrist in College Station, TX
• Providers in College Station, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.