Organization Active NPI

Twenty20 Optical PLLC

  • Optometrist
  • Friendswood, TX
National Provider Identifier
1891135612
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TWENTY20 OPTICAL PLLC
Practice address
105 E Parkwood Ave
Suite 107
Friendswood, TX 77546-5177
Phone
(281) 648-1910
Fax
(281) 648-1929
NPI assigned
Jun 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Authorized official

Name
Reagan M Ratcliff, ODNPI 1538509351
Title
OD/Owner
Phone
(281) 648-1910

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

105 E Parkwood Ave
Suite 107
Friendswood, TX 77546-5177

Mailing address

105 E Parkwood Ave
Suite 107
Friendswood, TX 77546-5177
Phone (281) 648-1910

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131022001057 TX Part B Supplier - Clinic/Group Practice 2466687751 Receives reassigned benefits from 3 practitioners
Practice locations: Friendswood, TX

National Provider Directory

National Provider Directory

Locations

105 E Parkwood Ave
Ste 107
Friendswood, TX 77546
Phone (281) 648-1910

Practitioners & affiliated clinicians

Practitioners 3

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": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1891135612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E PARKWOOD AVE",
            "address_2": "SUITE 107",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465177",
            "telephone_number": "281-648-1910",
            "fax_number": "281-648-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E PARKWOOD AVE",
            "address_2": "SUITE 107",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465177",
            "telephone_number": "281-648-1910",
            "fax_number": "281-648-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWENTY20 OPTICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "RATCLIFF",
        "authorized_official_first_name": "REAGAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "281-648-1910",
        "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 Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.