Active NPI
Harold R Codianne, OD
- Optometrist
- Plano, TX
National Provider Identifier
1902898422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1741TG
- Practice address
- 2313 W Parker Rd
Plano, TX 75023-7839 - Phone
- (972) 612-2015
- Fax
- (972) 867-5454
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1741TG | TX | Primary |
Addresses
Primary practice location
2313 W Parker Rd
Plano, TX 75023-7839
Mailing address
2313 W Parker Rd
Plano, TX 75023-7839
Phone (972) 612-2015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410035698 | Other | TX | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1741TG | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256688000000",
"number": "1902898422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2313 W PARKER RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750237839",
"telephone_number": "972-612-2015",
"fax_number": "972-867-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2313 W PARKER RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750237839",
"telephone_number": "972-612-2015",
"fax_number": "972-867-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODIANNE",
"first_name": "HAROLD",
"middle_name": "R",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2009-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "1741TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410035698",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}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 Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.