Organization Active NPI

Eyeland Vision

  • Optometrist
  • El Paso, TX
National Provider Identifier
1831227438
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYELAND VISION
Practice address
10710 Gateway Blvd N
Ste. B-10
El Paso, TX 79924-1739
Phone
(915) 821-6800
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Kerry Thomas Holt, O.D.
Title
V.P.
Phone
(915) 821-6800

Specialties & licenses 1

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

Addresses

Primary practice location

10710 Gateway Blvd N
Ste. B-10
El Paso, TX 79924-1739

Mailing address

10710 Gateway Blvd N
Ste. B-10
El Paso, TX 79924-1739
Phone (915) 821-6800

Other identifiers 1

IdentifierTypeStateIssuer
1502890-01MedicaidTX

Other names 1

  • Eyeland Vision Doing business as

National Provider Directory

National Provider Directory

Locations

4775 Loma del Sur Dr
El Paso, TX 79934
Phone (512) 889-2020

10710 Gateway Blvd N
Ste B10
El Paso, TX 79924
Phone (915) 821-6800

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1831227438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 GATEWAY BLVD N",
            "address_2": "STE. B-10",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241739",
            "telephone_number": "915-821-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 GATEWAY BLVD N",
            "address_2": "STE. B-10",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241739",
            "telephone_number": "915-821-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYELAND VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "V.P.",
        "authorized_official_telephone_number": "915-821-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1502890-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyeland Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.