Denton Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4002T Issued in TX

Legal business name

DENTON OPTOMETRY, INC.

Practice address

2430 S I-35 E
Suite 156
Denton, TX 76205-4986

Phone

(940) 484-8857

Fax

(940) 387-1998

NPI assigned

Oct 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Randy Anthony Wiebelhaus, O.D.

Title

Owner

Phone

(940) 484-8857

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1699851972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 LYNHURST LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762058079",
            "telephone_number": "940-484-8857",
            "fax_number": "940-387-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 S I-35 E",
            "address_2": "SUITE 156",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054986",
            "telephone_number": "940-484-8857",
            "fax_number": "940-387-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTON OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-28",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "WIEBELHAUS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-484-8857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4002T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0192437-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denton OB/GYN PA
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• Denton Obstetrics and Gynecology PA
• Denton Oncology Center, P.a.
• Denton Optical Company
• Denton Oral and Maxillofacial Surgery Associates
• Denton Pain Management Center, LLC
• Denton Pediatric Physicians PLLC
• Denton Podiatry PLLC
• Denton Professional Medical Group,PLLC

• Optometrist in Denton, TX
• Providers in Denton, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.