NPIMap

Organization Active NPI

Barry J Davis & Don a Reeves PTR

Doing business as Texas State Optical of Nederland

  • Optometrist
  • Port Arthur, TX
National Provider Identifier
1962528158
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BARRY J DAVIS & DON A REEVES PTR
Doing business as
Texas State Optical of Nederland
Practice address
8700 Central Mall Drive
Port Arthur, TX 77642-8058
Phone
(409) 722-6141
Fax
(409) 724-2405
NPI assigned
Mar 21, 2007
Last updated
Oct 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Dr. Roger Young, O.D.NPI 1689665630
Title
Optometrist
Phone
(409) 722-6141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TX Primary

Addresses

Primary practice location

8700 Central Mall Drive
Port Arthur, TX 77642-8058

Mailing address

8700 Central Mall Drive
Port Arthur, TX 77642-8058
Phone (409) 722-6141

Other names 1

  • Texas State Optical of Nederland Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1962528158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL MALL DRIVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428058",
            "telephone_number": "409-722-6141",
            "fax_number": "409-724-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL MALL DRIVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428058",
            "telephone_number": "409-722-6141",
            "fax_number": "409-724-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY J DAVIS & DON A REEVES PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "409-722-6141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas State Optical of Nederland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.