Jesse Salazar OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

TX3683 Issued in TX

Legal business name

JESSE SALAZAR OD PA

Doing business as

Family Vision Center

Practice address

3802 Joe Ramsey Blvd E
Greenville, TX 75401-7711

Phone

(903) 454-0471

Fax

(903) 450-4332

NPI assigned

Mar 30, 2007

Last updated

Sep 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jesse Salazar, ODNPI 1578571667

Title

Optometrist

Phone

(903) 454-0471

Specialties & licenses 1

Addresses

Other names 1

• Family Vision Center Doing business as

Practitioners 2

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.

• Jesse Salazar, OD

  • Optometrist
  • Greenville, TX
  • NPI 1578571667
  Authorized official Same address or phone
• Evagelos Steve Agapios, O.D.

  • Optometrist
  • Rockwall, TX
  • NPI 1861660698
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1710007935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 JOE RAMSEY BLVD E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017711",
            "telephone_number": "903-454-0471",
            "fax_number": "903-450-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 JOE RAMSEY BLVD E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017711",
            "telephone_number": "903-454-0471",
            "fax_number": "903-450-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE SALAZAR OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "903-454-0471",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "TX3683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zohora Binte Jalil, MD
• Shahram Jamalabadi, DC
• Hajra Jamil, MD
• JCK Homes
• Jeannie Murphy Crna Inc
• JMS Greenville Dental PLLC
• John C.H. Wang, DO, PA
• John D. Coble (Eyecare of Greenville)
• John D. Coble (Eyecare of Royse City)
• Amy Elizabeth Johnson, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.