FDP, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

2747TG Issued in TX

Legal business name

FDP, INC

Practice address

2801 Highway 180 E
Mineral Wells, TX 76067-4730

Phone

(817) 538-2873

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Frank David Ptak, O.D.

Title

President

Phone

(817) 538-2873

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1972791929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 N HUNTER PLACE LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760064606",
            "telephone_number": "817-538-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 HIGHWAY 180 E",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760674730",
            "telephone_number": "817-538-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FDP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "PTAK",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-538-2873",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2747TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Edmond C Evans Jr., D.O.
• Betsy J Figg, FNP-C
• Brad L Flaska, D.C.
• Mark John Florzak, PHARMD
• Jessa C Foster, FNP
• Four Points Wellness

• Optometrist in Mineral Wells, TX
• Providers in Mineral Wells, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.