Organization Active NPI

Salganik Optical Inc

Doing business as Salganik Vision Group

  • Optometrist
  • Waco, TX
National Provider Identifier
1740572643
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SALGANIK OPTICAL INC
Doing business as
Salganik Vision Group
Practice address
2201 W Loop 340
Suite 100
Waco, TX 76712-6856
Phone
(254) 420-3937
Fax
(254) 420-2575
NPI assigned
May 10, 2011
Last updated
Jun 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Mrs. Lisa Salganik
Title
Administrator
Phone
(254) 752-1081

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2201 W Loop 340
Suite 100
Waco, TX 76712-6856

Mailing address

3713 Franklin Ave
Waco, TX 76710-7329
Phone (254) 752-1081

Other identifiers 2

IdentifierTypeStateIssuer
TXB138982OtherTXMEDICARE PTAN (PHYSICIAN)
6596320001OtherTXMEDICARE DMEPOS PTAN

Other names 1

  • Salganik Vision Group Doing business as

National Provider Directory

National Provider Directory

Locations

2201 W Loop 340
#100
Waco, TX 76712
Phone (254) 420-3937

3713 Franklin Ave
Waco, TX 76710
Phone (254) 752-1081

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1740572643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 FRANKLIN AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107329",
            "telephone_number": "254-752-1081",
            "fax_number": "254-752-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W LOOP 340",
            "address_2": "SUITE 100",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126856",
            "telephone_number": "254-420-3937",
            "fax_number": "254-420-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALGANIK OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "SALGANIK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "254-752-1081",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (PHYSICIAN)",
            "identifier": "TXB138982",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMEPOS PTAN",
            "identifier": "6596320001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salganik Vision Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.