Odessa Vision Center PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2713-TG Issued in TX

Legal business name

ODESSA VISION CENTER PLLC

Doing business as

Odessa Vision Center

Practice address

4015 Penbrook St
Odessa, TX 79762-5917

Phone

(432) 362-3133

Fax

(432) 362-4818

NPI assigned

Dec 18, 2007

Last updated

Jan 30, 2025By 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

Justin JackmanNPI 1982046967

Title

President

Phone

(432) 362-3133

Specialties & licenses 1

Addresses

Other names 2

• ODESSA VISION CENTER Doing business as
• DONALD L HEMBREE OD PC Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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.

• Justin Jackman, OD

  • Optometrist
  • Odessa, TX
  • NPI 1982046967
  Medicare reassignment NPD Authorized official
• Ryan Phillips

  • Optometrist
  • Kermit, TX
  • NPI 1508218686
  Medicare reassignment Care Compare group NPD
• Adaly R Ramos, OD

  • Optometrist
  • Odessa, TX
  • NPI 1841894698
  Medicare reassignment Care Compare group NPD
• Haleigh Morgan Shelton, OD

  • Optometrist
  • Odessa, TX
  • NPI 1487584249
  Care Compare group

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1578747275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 PENBROOK ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625917",
            "telephone_number": "432-362-3133",
            "fax_number": "432-362-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 PENBROOK ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625917",
            "telephone_number": "432-362-3133",
            "fax_number": "432-362-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODESSA VISION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "JACKMAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-362-3133"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2713-TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mluera@odessavision.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "varied",
            "address_1": "4015 Penbrook St",
            "city": "Odessa",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797625917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ODESSA VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DONALD L HEMBREE OD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Odessa Surgical Associates PA
• Odessa Surgical Services, PLLC
• Odessa Texas Hospital Company LLC (Odessa Regional Medical Center)
• Odessa Texas Hospital Company LLC (Odessa Regional Medical Center)
• Odessa TX Caregiving LLC (Cornerstone Caregiving)
• Kolawole Odumusi, M.D.
• Odyssey Healthcare Operating a LP (Odyssey HealthCare of Odessa)
• Sylvester Emeka Ogbede, MD
• Adesuwa Stellamaris Ogbomo, MD
• Adetomiwa Ogundere, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.