Lone Star Optical Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LONE STAR OPTICAL INC.

Practice address

109 S Park Dr
Brownwood, TX 76801-5917

Phone

(325) 641-2246

Fax

(325) 641-0864

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Carol Bickelman Boren, M.D.NPI 1578505822

Title

Owner

Phone

(325) 641-2246

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

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

• Carol B Boren, MD

  • Ophthalmology Physician
  • Brownwood, TX
  • NPI 1578505822
  NPD (past) Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1780757310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S PARK DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015917",
            "telephone_number": "325-641-2246",
            "fax_number": "325-641-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S PARK DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015917",
            "telephone_number": "325-641-2246",
            "fax_number": "325-641-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "BOREN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "BICKELMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-641-2246",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81520N",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152777201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Lewis
• Lifeguard Ambulance Service of Texas, LLC
• Dan L Locker, M.D.
• Stacy Loftin, LPC
• Lone Star Hearing Services
• Christa Long, M.ED., LPC-ASSOCIATE
• Autumn Mkenzie Lord, LPC
• Bradon Evan Loya, MD
• Cheryl Lynn Lucas, ACNP-AG
• Latrena Lynn Lucas, LVN

• Eyewear Supplier in Brownwood, TX
• Providers in Brownwood, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.