Optique Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

6896TG Issued in TX

Legal business name

OPTIQUE EYE CARE, PLLC

Practice address

15069 Ih 35 N
Selma, TX 78154-3312

Phone

(210) 232-8975

NPI assigned

May 14, 2015

Last updated

May 14, 2015By 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

Kentaro Kikuchi, O.D.NPI 1578571683

Title

Optometrist

Phone

(210) 232-8975

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Kentaro Kikuchi, O.D.

  • Optometrist
  • Corpus Christi, TX
  • NPI 1578571683
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1730567330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15069 IH 35 N",
            "city": "SELMA",
            "state": "TX",
            "postal_code": "781543312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15069 IH 35 N",
            "city": "SELMA",
            "state": "TX",
            "postal_code": "781543312",
            "telephone_number": "210-232-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIQUE EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "KIKUCHI",
        "authorized_official_first_name": "KENTARO",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "210-232-8975",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6896TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Marilyn Newchurch, LMT
• Michelle Renee Newsom, APRN-FNP-C
• Emily Nguyen
• Julie Anne Nichols, MED, CALT/LDT
• Nielsen Vision Development Center
• Yangda Pan, PHARMD
• Laura Ann Peguillan, OD
• Geethu Philix
• Point Basics LLC
• Rashad M. Altawaty DDS PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.