Organization Active NPI

Retina Physicians of Corpus Christi, P.a.

  • Ophthalmology Physician
  • Corpus Christi, TX
National Provider Identifier
1811967151
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D6114 Issued in TX
Legal business name
RETINA PHYSICIANS OF CORPUS CHRISTI, P.A.
Practice address
3301 S Alameda St
Ste 307
Corpus Christi, TX 78411-1882
Phone
(361) 853-2226
Fax
(361) 853-6707
NPI assigned
Jan 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. R Michael Nisbet, MD
Title
President
Phone
(361) 853-2226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X D6114 TX Primary

Addresses

Primary practice location

3301 S Alameda St
Ste 307
Corpus Christi, TX 78411-1882

Mailing address

3301 S Alameda St
Ste 307
Corpus Christi, TX 78411-1882
Phone (361) 853-2226

Other identifiers 1

IdentifierTypeStateIssuer
151911801MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1811967151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 S ALAMEDA ST",
            "address_2": "STE 307",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111882",
            "telephone_number": "361-853-2226",
            "fax_number": "361-853-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 S ALAMEDA ST",
            "address_2": "STE 307",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111882",
            "telephone_number": "361-853-2226",
            "fax_number": "361-853-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA PHYSICIANS OF CORPUS CHRISTI, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "NISBET",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-853-2226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "D6114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151911801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.