Active NPI
Tom J. Shirey, O.D., P.a.
- Optometrist
- Fort Worth, TX
National Provider Identifier
1699711713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2758
- Legal business name
- TOM J. SHIREY, O.D., P.A.
- Practice address
- 6770 Westworth Blvd.
Suite 600
Fort Worth, TX 76114 - Phone
- (817) 246-3177
- Fax
- (817) 246-3277
- NPI assigned
- Jun 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tom J. Shirey, O.D.
- Title
- Owner/President
- Phone
- (817) 246-3177
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2758 | TX | Primary |
Addresses
Primary practice location
6770 Westworth Blvd.
Suite 600
Fort Worth, TX 76114
Mailing address
6770 Westworth Blvd.
Suite 600
Fort Worth, TX 76114
Phone (817) 246-3177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740287234 | Other | TX | INDIVIDUAL NPI |
Other names 1
- Tom J. Shirey, O.D.
National Provider Directory
National Provider DirectoryLocations
6770 Westworth Blvd
Ste 600
Westworth Village, TX 76114
Phone (817) 246-3177
6770 Westworth Blvd
#600
Westworth Village, TX 76114
Phone (817) 246-3177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216684800000",
"number": "1699711713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6770 WESTWORTH BLVD.",
"address_2": "SUITE 600",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76114",
"telephone_number": "817-246-3177",
"fax_number": "817-246-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6770 WESTWORTH BLVD.",
"address_2": "SUITE 600",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76114",
"telephone_number": "817-246-3177",
"fax_number": "817-246-3277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOM J. SHIREY, O.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-20",
"last_updated": "2008-07-22",
"status": "A",
"authorized_official_last_name": "SHIREY",
"authorized_official_first_name": "TOM",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "817-246-3177",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "2758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1740287234",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tom J. Shirey, O.D.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.