Organization Active NPI

Optical Clinic

  • Optometrist
  • Dallas, TX
National Provider Identifier
1902036460
Registry record updated Jul 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01262 Issued in TX
Legal business name
OPTICAL CLINIC
Practice address
130 Express St
Dallas, TX 75207-6706
Phone
(214) 741-6660
Fax
(214) 741-6676
NPI assigned
Jul 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2009

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

Authorized official

Name
Maury L. Ray I, O.D.
Title
Sole Proprietor/Owner
Phone
(214) 741-6660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 01262 TX Primary

Addresses

Primary practice location

130 Express St
Dallas, TX 75207-6706

Mailing address

130 Express St
Dallas, TX 75207-6706
Phone (214) 741-6660

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1059785Optical Clinic O C U L a R Center130 Express Street, Dallas, TX 75207Certificate of waiverOct 5, 2026

National Provider Directory

National Provider Directory

Locations

130 Express St
Dallas, TX 75207
Phone (214) 741-6660

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": "1247961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247961600000",
    "number": "1902036460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 EXPRESS ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752076706",
            "telephone_number": "214-741-6660",
            "fax_number": "214-741-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 EXPRESS ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752076706",
            "telephone_number": "214-741-6660",
            "fax_number": "214-741-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-19",
        "last_updated": "2009-07-19",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "MAURY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SOLE PROPRIETOR/OWNER",
        "authorized_official_telephone_number": "214-741-6660",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "01262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.