NPIMap

Organization Active NPI

Main St. Optical

  • Optometrist
  • Denison, TX
National Provider Identifier
1740466697
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3551T Issued in TX
Legal business name
MAIN ST. OPTICAL
Practice address
307 W. Main St.
Denison, TX 75020-3124
Phone
(903) 465-9214
Fax
(903) 463-6919
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Dr. Thomas K Baugh, ODNPI 1689644783
Title
Owner
Phone
(903) 465-9214

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3551T TX Primary

Addresses

Primary practice location

307 W. Main St.
Denison, TX 75020-3124

Mailing address

307 W. Main St.
Denison, TX 75020-3124
Phone (903) 465-9214

National Provider Directory

National Provider Directory

Locations

307 W Main St
Denison, TX 75020
Phone (903) 465-9214

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": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1740466697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 W. MAIN ST.",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750203124",
            "telephone_number": "903-465-9214",
            "fax_number": "903-463-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W. MAIN ST.",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750203124",
            "telephone_number": "903-465-9214",
            "fax_number": "903-463-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN ST. OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "BAUGH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-465-9214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3551T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.