Texarkana Vision Group PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TEXARKANA VISION GROUP PLLC

Practice address

4224 Texas Blvd
Texarkana, TX 75503-3013

Phone

(903) 280-1111

Fax

(870) 772-1096

NPI assigned

Aug 13, 2006

Last updated

Aug 22, 2020By 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

Raymond Marc Carozza, O.D.

Title

Principal Officer

Phone

(903) 280-1111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, AR2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• Direct secure messaging: dr.fowler@texarkanavisiongroup.eyefinity-direct.com
• Direct secure messaging: dr.glass@texarkanavisiongroup.eyefinity-direct.com

Practitioners 3

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.

• Littleton Augustus Fowler Sr., O.D.

  • Optometrist
  • Texarkana, TX
  • NPI 1457311607
  Medicare reassignment Care Compare group NPD
• James Randall Glass, O.D.

  • Optometrist
  • Texarkana, TX
  • NPI 1538172267

  AR

  Medicare reassignment Care Compare group
• Lauren Brooke Hernandez, O.D.

  • Optometrist
  • Texarkana, TX
  • NPI 1376990523

  AR

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629081724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6986",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755056986",
            "telephone_number": "903-280-1111",
            "fax_number": "870-772-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 TEXAS BLVD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033013",
            "telephone_number": "903-280-1111",
            "fax_number": "870-772-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXARKANA VISION GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAROZZA",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "PRINCIPAL OFFICER",
        "authorized_official_telephone_number": "903-280-1111",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texarkana Senior Care Clinic PLLC
• Texarkana Special Education Center, Inc. (Opportunities, Inc.)
• Texarkana Surgery Center LP
• Texarkana Surgical First Assistant PLLC
• Texarkana TX Caregiving LLC
• Texarkana Women's Clinic PA
• Texarkana-Bowie County Family Health Center
• Texarkana-Bowie County Family Health Center
• Texarkana-Bowie County Family Health Center
• Texas Em-1 Medical Services, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.