Primary Care and Parasurgical Ophthalmic Services, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3765TG Issued in TX

Legal business name

PRIMARY CARE AND PARASURGICAL OPHTHALMIC SERVICES, INC.

Practice address

3600 Billy Hext Rd.
Ste 102
Odessa, TX 79765-8992

Phone

(432) 242-5985

Fax

(432) 242-5985

NPI assigned

Oct 15, 2009

Organization subpart

No

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

Authorized official

Name

Samuel Canon

Title

Provider

Phone

(432) 686-0760

Specialties & licenses 1

Addresses

Other names 1

• Permian Eye Associates Doing business as

Locations

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1790010312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 BOYD AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797058502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 BILLY HEXT RD.",
            "address_2": "STE 102",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658992",
            "telephone_number": "432-242-5985",
            "fax_number": "432-242-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE AND PARASURGICAL OPHTHALMIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "CANON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "432-686-0760"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3765TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Permian Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Florence Pride, LPC
• Primary Care Associates of Texas
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• Procare Emergency Physicians Odessa PLLC
• Procare Odessa LLC

• Optometrist in Odessa, TX
• Providers in Odessa, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.