Corsicana Envision Eyecare PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1801TG Issued in TX

Legal business name

CORSICANA ENVISION EYECARE PA

Practice address

202 W 5TH Ave
Corsicana, TX 75110-5202

Phone

(903) 872-5681

Fax

(903) 872-0603

NPI assigned

Apr 22, 2013

Last updated

Apr 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Max Jerry Worley, O.D

Title

Owner

Phone

(903) 872-5681

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

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

Locations

Practitioners 1

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.

• Jody Lemarr-Cabano, OD

  • Optometrist
  • Corsicana, TX
  • NPI 1003824723
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1548604580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W 5TH AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751105202",
            "telephone_number": "903-872-5681",
            "fax_number": "903-872-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W 5TH AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751105202",
            "telephone_number": "903-872-5681",
            "fax_number": "903-872-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORSICANA ENVISION EYECARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "WORLEY",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-872-5681",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "1801TG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6404-TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delores Gwendolyn Cook, FNP
• Cornea Associates of Texas PA
• Corsicana Cancer Center
• Corsicana Childrens Dental Associates
• Corsicana Chiropractic, LLC
• Corsicana First Eyecare PLLC
• Corsicana Health Care LLC (Country Meadows Nursing and Rehabilitation Center)
• Corsicana Hometown Dental
• Corsicana II Enterprises, L.L.C. (Legacy at Corsicana Rehabilitation and Healthcare)
• Corsicana III Enterprises, L.L.C. (The Village at Heritage Oaks)

• Optometrist in Corsicana, TX
• Providers in Corsicana, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.