Corridor Eye, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4630T Issued in TX

Legal business name

CORRIDOR EYE, LLC

Practice address

3855 Lamar Ave
Suite a
Paris, TX 75462-5210

Phone

(903) 785-1500

Fax

(903) 737-8912

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul L Degenaer, OD

Title

President

Phone

(903) 785-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952515785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HERITAGE DR",
            "address_2": "#1524",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693481",
            "telephone_number": "903-785-1500",
            "fax_number": "903-737-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 LAMAR AVE",
            "address_2": "SUITE A",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754625210",
            "telephone_number": "903-785-1500",
            "fax_number": "903-737-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRIDOR EYE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEGENAER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-785-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4630T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER NUMBE",
            "identifier": "0066FD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Conway, LPC
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• Ryan Ray Cooper, PH.D.
• Angela Corrigan, ED.D., LPC, LMFT
• Candace Lynn Coston
• Wayne Neal Coston, RPH
• Counseling Professionals of Northeast Texas
• Kimberly Nicole Cox, PNP

• Optometrist in Paris, TX
• Providers in Paris, TX by specialty
• Optometrist 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.