Organization Active NPI

Foresight Eye Care PLLC

  • Optometrist
  • Lubbock, TX
National Provider Identifier
1831611706
Registry record updated Jul 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7292 Issued in TX
Legal business name
FORESIGHT EYE CARE PLLC
Practice address
6020 34TH St
Lubbock, TX 79407-3102
Phone
(806) 784-1465
Fax
(806) 784-1466
NPI assigned
Jul 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2017

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

Authorized official

Name
Dr. Jarren B Ray, ODNPI 1427208339
Title
Optometrist/Owner
Phone
(806) 784-1465

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 7292 TX Primary

Addresses

Primary practice location

6020 34TH St
Lubbock, TX 79407-3102

Mailing address

3410 98TH St Ste 4-142
Lubbock, TX 79423-3847
Phone (806) 784-1465

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170901000495 TX Part B Supplier - Clinic/Group Practice 4688947252 Receives reassigned benefits from 1 practitioner
Practice locations: Lubbock, TX

National Provider Directory

National Provider Directory

Locations

3410 98th St
Ste 4142
Lubbock, TX 79423

10303 Indiana Ave
Ste 400142
Lubbock, TX 79423

6020 34th St
Lubbock, TX 79407
Phone (806) 784-1460

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": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499817600000",
    "number": "1831611706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 98TH ST STE 4-142",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794233847",
            "telephone_number": "806-784-1465",
            "fax_number": "806-784-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073102",
            "telephone_number": "806-784-1465",
            "fax_number": "806-784-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORESIGHT EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "JARREN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "806-784-1465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.