Organization Active NPI

RGB Eye Associates,PA

  • Ophthalmology Physician
  • Sherman, TX
National Provider Identifier
1508863994
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RGB EYE ASSOCIATES,PA
Practice address
1625 N Highway 75
Sherman, TX 75090-2815
Phone
(903) 892-3282
Fax
(903) 813-1872
NPI assigned
Jun 30, 2005
Last updated
Oct 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
William Bradley Plauche, MDNPI 1871535674
Title
President
Phone
(903) 870-0780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X TX Primary

Addresses

Primary practice location

1625 N Highway 75
Sherman, TX 75090-2815

Mailing address

1625 N Highway 75
Sherman, TX 75090-2815
Phone (903) 892-3282

Other practice location 1

1501 N Washington Ave
Durant, OK 74701-2127
Phone (903) 892-3282

Other identifiers 1

IdentifierTypeStateIssuer
081275202MedicaidTX

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110303000737 OK Part B Supplier - Clinic/Group Practice 2860498490 Receives reassigned benefits from 7 practitioners
Practice locations: Ardmore, OK; Durant, OK
O20120424000513 TX Part B Supplier - Clinic/Group Practice 2860498490 Receives reassigned benefits from 10 practitioners
Practice locations: Gainesville, TX; Paris, TX; Sherman, TX; Whitesboro, TX; Celina, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2305006RGB Eye Associates PA1501 N Washington Ave, Durant, OK 74701Certificate of waiverMay 21, 2028
45D2093957RGB Eye Associates PA1625 Highway 75 North, Sherman, TX 75090Certificate of waiverMay 25, 2027

National Provider Directory

National Provider Directory

Locations

1501 N Washington Ave
Durant, OK 74701
Phone (580) 920-2020

1901 W University Blvd
Durant, OK 74701
Phone (580) 920-2020

624 N Washington Ave
Durant, OK 74701
Phone (580) 924-5333

205 S Preston Rd
Celina, TX 75009

205 S Preston Rd
Ste 120
Celina, TX 75009
Phone (972) 382-2020

1625 N US Highway 75
Sherman, TX 75090
Phone (214) 369-0555

650 Highway 377 N
Whitesboro, TX 76273
Phone (903) 564-9100

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1508863994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 N HIGHWAY 75",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902815",
            "telephone_number": "903-892-3282",
            "fax_number": "903-813-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N HIGHWAY 75",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902815",
            "telephone_number": "903-892-3282",
            "fax_number": "903-813-1872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747012127",
            "country_code": "US",
            "telephone_number": "903-892-3282",
            "fax_number": "903-893-9579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RGB EYE ASSOCIATES,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "PLAUCHE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-870-0780",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081275202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.