Organization Active NPI

Eye Clarity Vision Associates, PLLC

  • Optometrist
  • College Station, TX
National Provider Identifier
1629386354
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7446TG Issued in TX
Legal business name
EYE CLARITY VISION ASSOCIATES, PLLC
Practice address
1815 Brothers Blvd
College Station, TX 77845-5413
Phone
(979) 695-3937
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Dr. Krishan Patel, O.D.
Title
Optometrists/Owner
Phone
(979) 695-3937

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 7446TG TX Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 7446TG TX
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X 7446TG TX
Sports Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WS0006X 7446TG TX

Addresses

Primary practice location

1815 Brothers Blvd
College Station, TX 77845-5413

Mailing address

6046 FM 2920 Rd
#311
Spring, TX 77379-2542
Phone (979) 695-3937

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1629386354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6046 FM 2920 RD",
            "address_2": "#311",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792542",
            "telephone_number": "979-695-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 BROTHERS BLVD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455413",
            "telephone_number": "979-695-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CLARITY VISION ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KRISHAN",
        "authorized_official_title_or_position": "OPTOMETRISTS/OWNER",
        "authorized_official_telephone_number": "979-695-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7446TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "7446TG",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "7446TG",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "TX",
            "license": "7446TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.