NPIMap

Organization Active NPI

Anjonette Colvin, OD, PA

Doing business as Heritage Family EyeCare

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1659392835
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6164TG Issued in TX
Legal business name
ANJONETTE COLVIN, OD, PA
Doing business as
Heritage Family EyeCare
Practice address
9816 N Beach St
Suite 101
Fort Worth, TX 76244-6184
Phone
(817) 741-2020
Fax
(817) 741-3937
NPI assigned
Jul 22, 2006
Last updated
Nov 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Dr. Anjonette L Colvin, ODNPI 1114918943
Title
Owner/ Optometrist
Phone
(817) 741-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6164TG TX Primary

Addresses

Primary practice location

9816 N Beach St
Suite 101
Fort Worth, TX 76244-6184

Mailing address

9816 N Beach St
Suite 101
Fort Worth, TX 76244-6184
Phone (817) 741-2020

Other names 1

  • Heritage Family EyeCare Doing business as

National Provider Directory

National Provider Directory

Locations

9816 N Beach St
Ste 101
Fort Worth, TX 76244
Phone (817) 741-2020

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1659392835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9816 N BEACH ST",
            "address_2": "SUITE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446184",
            "telephone_number": "817-741-2020",
            "fax_number": "817-741-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9816 N BEACH ST",
            "address_2": "SUITE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446184",
            "telephone_number": "817-741-2020",
            "fax_number": "817-741-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANJONETTE COLVIN, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "COLVIN",
        "authorized_official_first_name": "ANJONETTE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ OPTOMETRIST",
        "authorized_official_telephone_number": "817-741-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6164TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Family EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.