Colin Castleberry PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5767TG Issued in TX

Legal business name

COLIN CASTLEBERRY PC

Practice address

3111 Midwestern Pkwy
Suite 256a
Wichita Falls, TX 76308-2823

Phone

(940) 691-0224

Fax

(940) 691-0225

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Willie B Castleberry III, O.D.NPI 1871503128

Title

President

Phone

(940) 691-0224

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Willie B Castleberry III, O.D.

  • Optometrist
  • Wichita Falls, TX
  • NPI 1871503128
  NPD (past) Authorized official

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1447433438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 MIDWESTERN PKWY",
            "address_2": "SUITE 256A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082823",
            "telephone_number": "940-691-0224",
            "fax_number": "940-691-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 MIDWESTERN PKWY",
            "address_2": "SUITE 256A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082823",
            "telephone_number": "940-691-0224",
            "fax_number": "940-691-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLIN CASTLEBERRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "CASTLEBERRY",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-691-0224",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5767TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CMS Rehab of WF LP
• Harry D Cobble, CRNA
• Shellee Nicole Coker, SLP
• Alan Coleman, M.D.
• Kenda Marie Coley, MSN, APRN, FNP-C
• Bryan James Collier, FNP-BC
• Clay Collins
• Donna Larae Collins, LPC
• Lacy Coltharp, PT
• Karissa Aira Tismo Coluso

• Optometrist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.