Kerrville Eye Center PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

J6394 Issued in TX

Legal business name

KERRVILLE EYE CENTER PA

Practice address

1001 Water St
Ste E100
Kerrville, TX 78028-3523

Phone

(830) 257-4417

Fax

(830) 257-1480

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Rhonda Cravey

Title

Business Manager

Phone

(830) 257-4417

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 5

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

• Russell S Cravey, M.D.

  • Ophthalmology Physician
  • Kerrville, TX
  • NPI 1205990207
  Medicare reassignment NPD
• Ryan F McKenna, MD

  • Interventional Pain Medicine Physician
  • Amarillo, TX
  • NPI 1801152079
  Medicare reassignment NPD
• Richard Bruce Debenedetto, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • South Padre Island, TX
  • NPI 1679549513
  NPD (past)
• Amy A Fisher, O.D.

  • Optometrist
  • Tyler, TX
  • NPI 1538223532
  NPD (past)
• Evelyn Kay Hancock

  • Optician
  • Fredericksburg, TX
  • NPI 1487723185
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1508920570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294869",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780294869",
            "telephone_number": "830-257-4417",
            "fax_number": "830-257-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WATER ST",
            "address_2": "STE E100",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283523",
            "telephone_number": "830-257-4417",
            "fax_number": "830-257-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRVILLE EYE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "CRAVEY",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "830-257-4417"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J6394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0010GH",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143576001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerrville Cancer Center LTD
• Kerrville Cancer Center PLLC
• Kerrville Cardiovascular Center
• Kerrville Drug Co., Inc
• Kerrville Drug Co., Inc
• Kerrville Healthcare Operations LLC
• Kerrville Imaging LLC
• Kerrville Independent School District
• Kerrville Mec, LP
• Kerrville Nursing and Rehab Center LLC

• Specialist in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.