Organization Active NPI

T D Ventures Inc.

  • Eyewear Supplier
  • Wichita Falls, TX
National Provider Identifier
1730364019
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
T D VENTURES INC.
Practice address
2916 Garnett Ave
Wichita Falls, TX 76308-1002
Phone
(940) 723-7241
Fax
(940) 761-2025
NPI assigned
Jan 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Mr. Gregory Eric Deatherage, FNAO ABOCNPI 1457544181
Title
Owner
Phone
(940) 723-7241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X
Eyewear Supplier 332H00000X TX Primary

Addresses

Primary practice location

2916 Garnett Ave
Wichita Falls, TX 76308-1002

Mailing address

2916 Garnett Ave
Wichita Falls, TX 76308-1002
Phone (940) 723-7241

Other names 1

  • Deatherage Certified Opticians Doing business as

National Provider Directory

National Provider Directory

Locations

2916 Garnett Ave
Wichita Falls, TX 76308
Phone (940) 723-7241

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1730364019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 GARNETT AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081002",
            "telephone_number": "940-723-7241",
            "fax_number": "940-761-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 GARNETT AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081002",
            "telephone_number": "940-723-7241",
            "fax_number": "940-761-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T D VENTURES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "DEATHERAGE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-723-7241",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNAO ABOC"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deatherage Certified Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.