NPIMap

Organization Active NPI

Longview Eye Associates. PA

  • Optometrist
  • Longview, TX
National Provider Identifier
1790799773
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3194TG Issued in TX
Legal business name
LONGVIEW EYE ASSOCIATES. PA
Practice address
1821 Judson Rd
Longview, TX 75605-4710
Phone
(903) 758-8832
Fax
(903) 238-8876
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Sarah Ward, O.D.NPI 1588979041
Title
Therapeutic Optometrist
Phone
(903) 758-8832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3194TG TX Primary

Addresses

Primary practice location

1821 Judson Rd
Longview, TX 75605-4710

Mailing address

1821 Judson Rd
Longview, TX 75605-4710
Phone (903) 758-8832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070514000547 TX Part B Supplier - Clinic/Group Practice 5294832986 Receives reassigned benefits from 10 practitioners
Practice locations: Mt Pleasant, TX; Longview, TX
O20201120000816 LA Part B Supplier - Clinic/Group Practice 5294832986 Receives reassigned benefits from 1 practitioner
Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory

Locations

2611 Greenwood Rd
Ste B
Shreveport, LA 71103
Phone (318) 312-2020

105 Cottage Rd
Carthage, TX 75633
Phone (800) 730-4915

1821 Judson Rd
Longview, TX 75605
Phone (903) 758-8832

1506 Judson Rd
Longview, TX 75601
Phone 9037588832 ext. 110

2306 E End Blvd S
Marshall, TX 75672
Phone (903) 938-2555

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1790799773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054710",
            "telephone_number": "903-758-8832",
            "fax_number": "903-238-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054710",
            "telephone_number": "903-758-8832",
            "fax_number": "903-238-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGVIEW EYE ASSOCIATES. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "THERAPEUTIC OPTOMETRIST",
        "authorized_official_telephone_number": "903-758-8832",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3194TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.