Organization Active NPI

Poole Eye Associates

  • Optometrist
  • Marble Falls, TX
National Provider Identifier
1821240037
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
POOLE EYE ASSOCIATES
Practice address
614 7TH St
Marble Falls, TX 78654-5819
Phone
(830) 693-3292
Fax
(830) 693-8365
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Dr. Mohan Valentino Poole, O.D.NPI 1356508436
Title
President
Phone
(512) 619-0196

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 TX Primary

Addresses

Primary practice location

614 7TH St
Marble Falls, TX 78654-5819

Mailing address

614 7TH St
Marble Falls, TX 78654-5819
Phone (830) 693-3292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090302000282 TX Part B Supplier - Clinic/Group Practice 2769548684 Receives reassigned benefits from 3 practitioners
Practice locations: Marble Falls, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1821240037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 7TH ST",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545819",
            "telephone_number": "830-693-3292",
            "fax_number": "830-693-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 7TH ST",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545819",
            "telephone_number": "830-693-3292",
            "fax_number": "830-693-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOLE EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_middle_name": "VALENTINO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-619-0196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marble Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.