Active NPI
Monty Banks OD PA
Doing business as Texas State Optical
- Optometrist
- Stephenville, TX
National Provider Identifier
1932343167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3115TG
- Legal business name
- MONTY BANKS OD PA
- Doing business as
- Texas State Optical
- Practice address
- 101 N Dale Ave
Stephenville, TX 76401-2832 - Phone
- (254) 968-4133
- Fax
- (254) 968-5631
- NPI assigned
- May 1, 2009
- Last updated
- May 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monty S Banks, O.D.
- Title
- President
- Phone
- (254) 968-4133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3115TG | TX | Primary |
Addresses
Primary practice location
101 N Dale Ave
Stephenville, TX 76401-2832
Mailing address
101 N Dale Ave
Stephenville, TX 76401-2832
Phone (254) 968-4133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G000E50E0 | Medicaid | TX |
Other names 1
- TEXAS STATE OPTICAL
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Laredo, TX
- NPI 1679616239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241136000000",
"number": "1932343167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N DALE AVE",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764012832",
"telephone_number": "254-968-4133",
"fax_number": "254-968-5631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N DALE AVE",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764012832",
"telephone_number": "254-968-4133",
"fax_number": "254-968-5631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTY BANKS OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-01",
"last_updated": "2009-05-01",
"status": "A",
"authorized_official_last_name": "BANKS",
"authorized_official_first_name": "MONTY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "254-968-4133",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "3115TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G000E50E0",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TEXAS STATE OPTICAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stephenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.