Individual provider Active NPI

Robert Cole Powlison, OD

  • Optometrist
  • Denison, TX
National Provider Identifier
1891548764
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11194T Issued in TX
Practice address
2515 W Morton St
Denison, TX 75020-1403
Phone
(903) 465-1810
NPI assigned
Apr 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11194T TX Primary

Addresses

Primary practice location

2515 W Morton St
Denison, TX 75020-1403

Mailing address

3916 Refuge Rd
Sherman, TX 75092-8718
Phone (903) 436-4085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240727000427 TX Practitioner - Optometry 9931645827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denison Eyecare Center PLLCGroup PAC ID 6103179973, 3 clinicians

Practice addresses (Care Compare)

2515 W Morton St
Denison, TX 75020-1403
Phone (903) 465-1810

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11194TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Denison Eyecare Center, PLLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Denison Optical, Inc. Optometrist PastSince Jul 21, 2024 Accepting new patients

Locations

2515 W Morton St
Denison, TX 75020
Phone (580) 920-5389

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1891548764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 REFUGE RD",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750928718",
            "telephone_number": "903-436-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 W MORTON ST",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201403",
            "telephone_number": "903-465-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWLISON",
        "first_name": "ROBERT",
        "middle_name": "COLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11194T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.