Individual provider Active NPI

Paul Julian Rea Jr., O.D.

  • Optometrist
  • North Richland Hills, TX
National Provider Identifier
1902907629
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2446T Issued in TX
Practice address
5755 Rufe Snow Dr
Suite 100
North Richland Hills, TX 76180-6055
Phone
(817) 656-1111
Fax
(817) 656-4018
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2446T TX Primary

Addresses

Primary practice location

5755 Rufe Snow Dr
Suite 100
North Richland Hills, TX 76180-6055

Mailing address

5755 Rufe Snow Dr
Suite 100
North Richland Hills, TX 76180-6055
Phone (817) 656-1111

Other identifiers 1

IdentifierTypeStateIssuer
2446OtherTXTEXAS LICENSE

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

LicenseStateTypeSpecialty
2446TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Rufe Snow PLLC Optometrist CurrentSince Feb 1, 2022 Accepting new patients

Locations

5755 Rufe Snow Dr
Ste 100
North Richlnd Hls, TX 76180
Phone (817) 301-5745

Organizations & group practices 1

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1902907629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 RUFE SNOW DR",
            "address_2": "SUITE 100",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806055",
            "telephone_number": "817-656-1111",
            "fax_number": "817-656-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 RUFE SNOW DR",
            "address_2": "SUITE 100",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806055",
            "telephone_number": "817-656-1111",
            "fax_number": "817-656-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REA",
        "first_name": "PAUL",
        "middle_name": "JULIAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2446T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "2446",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.

Verify at the official NPI Registry.