Organization Active NPI

Frazier Optical Inc.

  • Prosthetic/Orthotic Supplier
  • Tyler, TX
National Provider Identifier
1467763532
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
DR 0728 Issued in TX
Legal business name
FRAZIER OPTICAL INC.
Practice address
2531 E 5TH St
Tyler, TX 75701-3544
Phone
(903) 595-2946
Fax
(903) 595-3117
NPI assigned
Jun 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Mr. William Lewis Frazier, ABOC
Title
Certified Optician
Phone
(903) 595-2946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X DR 0728 TX Primary

Addresses

Primary practice location

2531 E 5TH St
Tyler, TX 75701-3544

Mailing address

2351 E. Fifth Street
Tyler, TX 75701-3544
Phone (903) 595-2946

Other names 1

  • Medical Center Opticians Doing business as

National Provider Directory

National Provider Directory

Locations

2531 E 5th St
Tyler, TX 75701
Phone (903) 595-2946

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1467763532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 E. FIFTH STREET",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013544",
            "telephone_number": "903-595-2946",
            "fax_number": "903-595-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013544",
            "telephone_number": "903-595-2946",
            "fax_number": "903-595-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAZIER OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "CERTIFIED OPTICIAN",
        "authorized_official_telephone_number": "903-595-2946",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "DR 0728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.