Organization Active NPI

Saginaw Family Eyecare, PLLC

  • Optometrist
  • Saginaw, TX
National Provider Identifier
1699446377
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SAGINAW FAMILY EYECARE, PLLC
Practice address
616 E Bailey Boswell Rd Ste 200
Saginaw, TX 76131-3575
Phone
(682) 382-2020
NPI assigned
Sep 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Dr. Anjonette Colvin, ODNPI 1114918943
Title
Owner
Phone
(817) 701-8775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

616 E Bailey Boswell Rd Ste 200
Saginaw, TX 76131-3575

Mailing address

616 E Bailey Boswell Rd Ste 200
Saginaw, TX 76131-3576
Phone (682) 382-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220506000704 TX Part B Supplier - Clinic/Group Practice 7113304445 Receives reassigned benefits from 2 practitioners
Practice locations: Saginaw, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1699446377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E BAILEY BOSWELL RD STE 200",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761313576",
            "telephone_number": "682-382-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E BAILEY BOSWELL RD STE 200",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761313575",
            "telephone_number": "682-382-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGINAW FAMILY EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "COLVIN",
        "authorized_official_first_name": "ANJONETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-701-8775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.