Organization Active NPI

Patricia S. McCormick

Doing business as Quality Care Optical

  • Optician
  • Texarkana, TX
National Provider Identifier
1699864397
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
PATRICIA S. MCCORMICK
Doing business as
Quality Care Optical
Practice address
2323 Kennedy LN
Texarkana, TX 75503-2536
Phone
(903) 255-1105
Fax
(903) 255-1106
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mrs. Patricia S McCormick
Title
Owner
Phone
(903) 255-1105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

2323 Kennedy LN
Texarkana, TX 75503-2536

Mailing address

2323 Kennedy LN
Texarkana, TX 75503-2536
Phone (903) 255-1105

Other identifiers 1

IdentifierTypeStateIssuer
184530703MedicaidTX

Other names 1

  • QUALITY CARE OPTICAL Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1699864397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 KENNEDY LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032536",
            "telephone_number": "903-255-1105",
            "fax_number": "903-255-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 KENNEDY LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032536",
            "telephone_number": "903-255-1105",
            "fax_number": "903-255-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA S. MCCORMICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-255-1105",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184530703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUALITY CARE OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.