Organization Active NPI

Five Points Eyecare, PLLC

  • Optometrist
  • Corpus Christi, TX
National Provider Identifier
1831746189
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FIVE POINTS EYECARE, PLLC
Practice address
4101 Ih 69 Access Rd Ste B3
Corpus Christi, TX 78410-4543
Phone
(361) 241-9357
Fax
(361) 241-4461
NPI assigned
Aug 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Mr. William A Crisp, ODNPI 1063542975
Title
Owner
Phone
(361) 241-9357

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 Primary

Addresses

Primary practice location

4101 Ih 69 Access Rd Ste B3
Corpus Christi, TX 78410-4543

Mailing address

4101 Ih 69 Access Rd Ste B3
Corpus Christi, TX 78410-4543
Phone (361) 241-9357

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191023003032 TX Part B Supplier - Clinic/Group Practice 4183956154 Receives reassigned benefits from 2 practitioners
Practice locations: Corpus Christi, 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1831746189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 IH 69 ACCESS RD STE B3",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784104543",
            "telephone_number": "361-241-9357",
            "fax_number": "361-241-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 IH 69 ACCESS RD STE B3",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784104543",
            "telephone_number": "361-241-9357",
            "fax_number": "361-241-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE POINTS EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "CRISP",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-241-9357",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 21, 2019; 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.