College Station Vision Center PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

COLLEGE STATION VISION CENTER PLLC

Practice address

4321 State Highway 6 South
College Station, TX 77845

Phone

(979) 321-6565

Fax

(979) 321-6566

NPI assigned

Aug 1, 2022

Organization subpart

No

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

Authorized official

Name

Kevin Benham, OD

Title

Owner/Optometrist

Phone

(432) 413-1997

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1487380457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 HERU CT",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778457085",
            "telephone_number": "432-413-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 STATE HIGHWAY 6 SOUTH",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-321-6565",
            "fax_number": "979-321-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE STATION VISION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "BENHAM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "432-413-1997",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• College Station Imaging Center
• College Station Isd
• College Station Modern Dentistry PC
• College Station Optical, PC
• College Station Oral Surgery, PLLC
• Megan Comire, PT, DPT
• Natalie Compton
• Rhoda Conant, M.D.
• Scott Howard Conant, MD
• Riley Grace Condon

• 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 Aug 1, 2022; 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.