Organization Active NPI

Wicks and Wicks, P.a.

  • Optometrist
  • Paris, TX
National Provider Identifier
1821376583
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7734T Issued in TX
Legal business name
WICKS AND WICKS, P.A.
Practice address
15 East PLZ
Paris, TX 75460-5841
Phone
(903) 784-6649
Fax
(903) 784-6613
NPI assigned
Jul 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Authorized official

Name
Dr. Colton Dale Wicks, O.D.NPI 1801174537
Title
Owner
Phone
(903) 784-6649

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 7734T TX Primary

Addresses

Primary practice location

15 East PLZ
Paris, TX 75460-5841

Mailing address

15 East PLZ
Paris, TX 75460-5841
Phone (903) 784-6649

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111208000424 TX Part B Supplier - Clinic/Group Practice 3971778606 Receives reassigned benefits from 2 practitioners
Practice locations: Paris, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1821376583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 EAST PLZ",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605841",
            "telephone_number": "903-784-6649",
            "fax_number": "903-784-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 EAST PLZ",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605841",
            "telephone_number": "903-784-6649",
            "fax_number": "903-784-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICKS AND WICKS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "WICKS",
        "authorized_official_first_name": "COLTON",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-784-6649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7734T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.