Natsirt PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5527TG Issued in TX

Legal business name

NATSIRT PC

Practice address

6640 Cypresswood Dr
Suite 105
Spring, TX 77379-7737

Phone

(281) 355-9090

Fax

(281) 602-8419

NPI assigned

Aug 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Crosby W Wallace, OD

Title

Optometrist

Phone

(281) 355-9090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1598044182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 CYPRESSWOOD DR",
            "address_2": "SUITE 105",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797737",
            "telephone_number": "281-355-9090",
            "fax_number": "281-602-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 CYPRESSWOOD DR",
            "address_2": "SUITE 105",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797737",
            "telephone_number": "281-355-9090",
            "fax_number": "281-602-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATSIRT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "CROSBY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "281-355-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5527TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.