Abilene Optometry PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

6815TG Issued in TX

Legal business name

ABILENE OPTOMETRY PA

Practice address

9002 N Navarro St
Victoria, TX 77904-1431

Phone

(361) 485-0928

Fax

(361) 371-4467

NPI assigned

Dec 8, 2009

Last updated

May 11, 2023By 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

Dr. Jonathan H Tan, ODNPI 1922054212

Title

President

Phone

(361) 485-0928

Specialties & licenses 1

Addresses

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.

• Jonathan H Tan, O.D.

  • Optometrist
  • Victoria, TX
  • NPI 1922054212
  Authorized official Same address or phone

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1780913590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 N NAVARRO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041431",
            "telephone_number": "361-485-0928",
            "fax_number": "361-371-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 N NAVARRO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041431",
            "telephone_number": "361-485-0928",
            "fax_number": "361-371-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILENE OPTOMETRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-485-0928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6815TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 5 DL, L.L.C. (Sole Solutions and Home Medical Equipment)
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• Zakaria Abdi, MD
• Tizazu Tesfaye Aberra, PHARMD
• Stephanie Abraham, NP
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• Accentcare Inc
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• Optometrist in Victoria, TX
• Providers in Victoria, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.