Organization Active NPI

Permian Basin Eye Care Center Inc

  • Optometrist
  • Midland, TX
National Provider Identifier
1578879102
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7598T Issued in TX
Legal business name
PERMIAN BASIN EYE CARE CENTER INC
Practice address
2200 W Wadley Ave
Ste 22
Midland, TX 79705-6438
Phone
(432) 684-7287
Fax
(432) 684-7297
NPI assigned
Aug 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Blake Golson, O.D.NPI 1992019301
Title
Owner
Phone
(432) 661-6579

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7598T TX Primary

Addresses

Primary practice location

2200 W Wadley Ave
Ste 22
Midland, TX 79705-6438

Mailing address

2200 W Wadley Ave Ste 22
Midland, TX 79705-6435
Phone (432) 684-7287

Other names 1

  • Texas Country Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110502000327 TX Part B Supplier - Clinic/Group Practice 7618152992 Receives reassigned benefits from 2 practitioners
Practice locations: Midland, TX

National Provider Directory

National Provider Directory

Locations

2200 W Wadley Ave
Ste 22
Midland, TX 79705
Phone (432) 684-7287

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1578879102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W WADLEY AVE STE 22",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797056435",
            "telephone_number": "432-684-7287",
            "fax_number": "432-684-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W WADLEY AVE",
            "address_2": "STE 22",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797056438",
            "telephone_number": "432-684-7287",
            "fax_number": "432-684-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMIAN BASIN EYE CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "GOLSON",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-661-6579",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7598T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Country Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.