Organization Active NPI

Optum Clinic, PA

Doing business as Optum Clinic

  • Urgent Care Clinic/Center
  • Plano, TX
National Provider Identifier
1871911180
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
OPTUM CLINIC, PA
Doing business as
Optum Clinic
Practice address
2100 Dallas Pkwy
Suite 126
Plano, TX 75093-4363
Phone
(972) 543-9800
NPI assigned
Apr 3, 2014
Last updated
Mar 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Dr. Curtis Mock, MDNPI 1386685188
Title
Ceo
Phone
(401) 732-7325

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
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2100 Dallas Pkwy
Suite 126
Plano, TX 75093-4363

Mailing address

PO Box 692
Minneapolis, MN 55440-0692

Other names 1

  • Optum Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

7031 Highway 6 N
Houston, TX 77095
Phone (281) 859-1425

555 Republic Dr
Ste 418
Plano, TX 75074
Phone (792) 516-7039

1507 W Bay Area Blvd
Ste D
Webster, TX 77598
Phone (281) 724-2705

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": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1871911180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554400692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 DALLAS PKWY",
            "address_2": "SUITE 126",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934363",
            "telephone_number": "972-543-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "MOCK",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-732-7325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optum Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.