Certified CC Opticians

Primary specialty

OpticianTaxonomy code 156FX1800X

License

ABO3472 Issued in TX

Legal business name

CERTIFIED CC OPTICIANS

Practice address

1173 E 42ND Street
Odessa, TX 79762

Phone

(432) 367-9401

Fax

(432) 362-2327

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Terry Lynn Cook

Title

Optician Owner

Phone

(432) 367-9401

Specialties & licenses 1

Addresses

Other names 1

• Public Wholesale Optical Doing business as

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902979792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 E 42ND STREET",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79762",
            "telephone_number": "432-367-9401",
            "fax_number": "432-362-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 E 42ND STREET",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79762",
            "telephone_number": "432-367-9401",
            "fax_number": "432-362-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED CC OPTICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OPTICIAN OWNER",
        "authorized_official_telephone_number": "432-367-9401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "TX",
            "license": "ABO3472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Public Wholesale Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Irene C Cawi, NURSE PRACTITIONER
• Guillermo Nicolas Cazares, MD
• Suzanne Cearley, CPCP-PC
• Maria G Ceballos, O.D.
• Ralph Cepero, M.D.
• Monica Cervantes, DPM
• Kalyan Chakrala, D.O.
• John J Challapalli, MD
• Kris Challapalli, MD
• Karthik Chamarti

• Optician in Odessa, TX
• Providers in Odessa, TX by specialty
• Optician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.