Organization Active NPI

Panhandle Vision Center - Dumas PC

  • Optometrist
  • Dumas, TX
National Provider Identifier
1487609251
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PANHANDLE VISION CENTER - DUMAS PC
Doing business as
Advanced Eye Care - Dumas
Practice address
224 E 7TH St
Dumas, TX 79029-4411
Phone
(806) 935-7773
Fax
(806) 935-7972
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Authorized official

Name
Vanessa R Anderson, OD
Title
Owner
Phone
(806) 935-7773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

224 E 7TH St
Dumas, TX 79029-4411

Mailing address

224 E 7TH St
Dumas, TX 79029-4411
Phone (806) 935-7773

Other names 1

  • Advanced Eye Care - Dumas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930074320 TX DME Supplier - Physician - Optometrist 8527070671 Practice locations: Dumas, TX
O20140403000047 TX Part B Supplier - Clinic/Group Practice 8527070671 Receives reassigned benefits from 5 practitioners
Practice locations: Dumas, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Advanced Eye Care224 E 7TH St, Dumas, TX 79029-4411(806) 935-7773 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1999

National Provider Directory

National Provider Directory

Locations

224 E 7th St
Dumas, TX 79029
Phone (806) 935-7773

1518 Guy Lane Plz
Dumas, TX 79029
Phone (806) 935-7773

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1487609251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 E 7TH ST",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790294411",
            "telephone_number": "806-935-7773",
            "fax_number": "806-935-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E 7TH ST",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790294411",
            "telephone_number": "806-935-7773",
            "fax_number": "806-935-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE VISION CENTER - DUMAS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "R ANDERSON",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-935-7773",
        "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": [
        {
            "organization_name": "Advanced Eye Care - Dumas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dumas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.