Organization Active NPI

West Texas Eyecare

  • Optometrist
  • Fort Stockton, TX
National Provider Identifier
1669749925
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7578TG Issued in TX
Legal business name
WEST TEXAS EYECARE
Practice address
605 N Main St
Fort Stockton, TX 79735-5625
Phone
(432) 336-3662
Fax
(432) 336-7806
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Jashua R Pass, OD
Title
Owner
Phone
(432) 336-3662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7578TG TX Primary

Addresses

Primary practice location

605 N Main St
Fort Stockton, TX 79735-5625

Mailing address

605 N Main St
Fort Stockton, TX 79735-5625
Phone (432) 336-3662

Other practice location 1

611 S Oak St
Pecos, TX 79772-4030
Phone (432) 445-3662

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120130000161 TX Part B Supplier - Clinic/Group Practice 7214194554 Receives reassigned benefits from 4 practitioners
Practice locations: Fort Stockton, TX; Monahans, TX; Pecos, TX

National Provider Directory

National Provider Directory

Locations

605 N Main St
Fort Stockton, TX 79735
Phone (432) 336-3662

406 S Ike Ave
Monahans, TX 79756
Phone (432) 777-3662

Practitioners & affiliated clinicians

Practitioners 5

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": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1669749925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797355625",
            "telephone_number": "432-336-3662",
            "fax_number": "432-336-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797355625",
            "telephone_number": "432-336-3662",
            "fax_number": "432-336-7806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 S Oak St",
            "address_purpose": "LOCATION",
            "city": "Pecos",
            "state": "TX",
            "postal_code": "797724030",
            "country_code": "US",
            "telephone_number": "432-445-3662",
            "fax_number": "432-445-3667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST TEXAS EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "PASS",
        "authorized_official_first_name": "JASHUA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-336-3662",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7578TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stockton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.