Eye Care of Texoma, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE CARE OF TEXOMA, LLC

Doing business as

Eye Care Texoma

Practice address

417 W Main St
Denison, TX 75020-3126

Phone

(903) 465-3815

NPI assigned

Apr 3, 2024

Organization subpart

No

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

Authorized official

Name

Eric Newberry, ODNPI 1518924307

Title

Owner

Phone

(214) 616-3221

Specialties & licenses 1

Addresses

Other names 1

• Eye Care Texoma Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Keith Newberry, O.D.

  • Optometrist
  • McKinney, TX
  • NPI 1518924307
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1932951902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 LAKE RIDGE CT",
            "city": "POTTSBORO",
            "state": "TX",
            "postal_code": "750763225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W MAIN ST",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750203126",
            "telephone_number": "903-465-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE OF TEXOMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "NEWBERRY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-616-3221",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Texoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Denison, TX
• Providers in Denison, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.