Organization Active NPI

Spectacularx

Doing business as Pearle Vision #8699

  • Optician
  • Selma, TX
National Provider Identifier
1790176022
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
SPECTACULARX
Doing business as
Pearle Vision #8699
Practice address
8235 Agora Pkwy Ste 123
Selma, TX 78154-1335
Phone
(210) 659-9189
NPI assigned
Feb 9, 2015
Last updated
Feb 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Authorized official

Name
Virgen Santiago
Title
Director
Phone
(210) 659-9189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

8235 Agora Pkwy Ste 123
Selma, TX 78154-1335

Mailing address

8235 Agora Pkwy Ste 123
Selma, TX 78154-1335
Phone (210) 659-9189

Other names 1

  • PEARLE VISION #8699 Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1790176022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 AGORA PKWY STE 123",
            "city": "SELMA",
            "state": "TX",
            "postal_code": "781541335",
            "telephone_number": "210-659-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 AGORA PKWY STE 123",
            "city": "SELMA",
            "state": "TX",
            "postal_code": "781541335",
            "telephone_number": "210-659-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTACULARX",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "VIRGEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "210-659-9189"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEARLE VISION #8699",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Selma, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.