Organization Active NPI

Robert Lisman

Doing business as Classic Eyewear

  • Durable Medical Equipment & Medical Supplies
  • Marshall, TX
National Provider Identifier
1780755041
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ROBERT LISMAN
Doing business as
Classic Eyewear
Practice address
405 E Pinecrest Dr Unit B
Marshall, TX 75670-7200
Phone
(903) 938-9691
NPI assigned
Nov 10, 2006
Last updated
Apr 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Mrs. Brenda A Lisman
Title
Office Manager
Phone
(903) 938-9691

Specialties & licenses 1

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

Addresses

Primary practice location

405 E Pinecrest Dr Unit B
Marshall, TX 75670-7200

Mailing address

405 E Pinecrest Dr Unit B
Marshall, TX 75670-7200
Phone (903) 938-9691

Other names 1

  • Classic Eyewear Doing business as

National Provider Directory

National Provider Directory

Locations

405 E Pinecrest Dr
Unit B
Marshall, TX 75670
Phone (903) 938-9691

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1780755041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E PINECREST DR UNIT B",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756707200",
            "telephone_number": "903-938-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E PINECREST DR UNIT B",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756707200",
            "telephone_number": "903-938-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT LISMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "LISMAN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-938-9691",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Classic Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshall, TX

Sources for this page

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