Individual provider Active NPI

Christine English Oconnor, OD

  • Optometrist
  • Amarillo, TX
National Provider Identifier
1497792246
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
04641TG Issued in TX
Practice address
3501 Soncy Rd
Ste 100
Amarillo, TX 79119-6405
Phone
(806) 352-3157
Fax
(806) 358-0041
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 04641TG TX Primary

Addresses

Primary practice location

3501 Soncy Rd
Ste 100
Amarillo, TX 79119-6405

Mailing address

3501 Soncy Rd
Ste 100
Amarillo, TX 79119-6405
Phone (806) 352-3157

Other identifiers 1

IdentifierTypeStateIssuer
019540601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802000909 TX Practitioner - Optometry 0042281354 Reassigns benefits to 1 organization
Practice locations: Amarillo, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3501 Soncy Rd
Suite 100
Amarillo, TX 79119-6405
Phone (806) 352-3157

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04641TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Amarillo I Care, PC Optometrist CurrentSince Oct 17, 2013 Accepting new patients

Locations

3501 S Soncy Rd
Ste 100
Amarillo, TX 79119
Phone (806) 352-3157

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1497792246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SONCY RD",
            "address_2": "STE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196405",
            "telephone_number": "806-352-3157",
            "fax_number": "806-358-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SONCY RD",
            "address_2": "STE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196405",
            "telephone_number": "806-352-3157",
            "fax_number": "806-358-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "CHRISTINE",
        "middle_name": "ENGLISH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "04641TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019540601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.