Organization Active NPI

Nettune Eye Associates

  • Optometrist
  • Athens, TX
National Provider Identifier
1497969075
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
F8591 Issued in TX
Legal business name
NETTUNE EYE ASSOCIATES
Practice address
1123 S Palestine St Ste 100
Athens, TX 75751-3645
Phone
(903) 675-5300
Fax
(903) 677-1636
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert J Nettune, M.D.
Title
Medical Doctor
Phone
(903) 675-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X F8591 TX Primary

Addresses

Primary practice location

1123 S Palestine St Ste 100
Athens, TX 75751-3645

Mailing address

1123 S Palestine St Ste 100
Athens, TX 75751-3645
Phone (903) 675-5300

National Provider Directory

National Provider Directory

Locations

421 N Gun Barrel Ln
Gun Barrel City, TX 75156
Phone (903) 887-7500

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497969075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 S PALESTINE ST STE 100",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513645",
            "telephone_number": "903-675-5300",
            "fax_number": "903-677-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 S PALESTINE ST STE 100",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513645",
            "telephone_number": "903-675-5300",
            "fax_number": "903-677-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NETTUNE EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NETTUNE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "903-675-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "F8591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.