Oak Creek Optical

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

E6388 Issued in TX

Legal business name

OAK CREEK OPTICAL

Practice address

2615 NE Loop 286
Paris, TX 75460-3444

Phone

(903) 785-0443

Fax

(903) 785-2947

NPI assigned

Jan 18, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. A Lisa Grossnickle

Title

Office Manager

Phone

(903) 785-0443

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Richard D. Grossnickle, M.D. Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dean I Brown, OD

  • Optometrist
  • Rock Springs, WY
  • NPI 1821051400
  NPD (past)

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1699951756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754603444",
            "telephone_number": "903-785-0443",
            "fax_number": "903-785-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754603444",
            "telephone_number": "903-785-0443",
            "fax_number": "903-785-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CREEK OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "GROSSNICKLE",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-785-0443",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "E6388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100976-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard D. Grossnickle, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Ochhr LLC (On Call Home Health & Rehab Services)
• Kara Olfert, MSW, LCSW
• On Call Hospice LLC (On Call Hospice)
• Oncall Elder Care L.L.C.
• Oncology Pharmacy Services, Inc (Texas Oncology Pharmacy Paris)

• Customized Equipment (DME) in Paris, TX
• Providers in Paris, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.