Active NPI
Paul Julian Rea Jr., O.D.
- Optometrist
- North Richland Hills, TX
National Provider Identifier
1902907629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2446T
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2446 | Other | TX | TEXAS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2446T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyes on Rufe Snow PLLC | Optometrist | Current | 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.
-
- Optometrist
- North Richland Hills, TX
- NPI 1013669498
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.