Organization Active NPI

Texas Tech University Health Sciences Center Lubbock

Doing business as Texas Tech Eye Consultants

  • Eyewear Supplier
  • Lubbock, TX
National Provider Identifier
1972801223
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
Doing business as
Texas Tech Eye Consultants
Practice address
4004 82ND St BLDG 200
Lubbock, TX 79423-1900
Phone
(806) 743-7244
Fax
(806) 798-3391
NPI assigned
Mar 10, 2011
Last updated
Oct 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Authorized official

Name
Brent Magers
Title
Ceo
Phone
(806) 743-1830

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

4004 82ND St BLDG 200
Lubbock, TX 79423-1900

Mailing address

PO Box 27476
Salt Lake City, UT 84127-0476
Phone (806) 743-4263

Other identifiers 1

IdentifierTypeStateIssuer
CD9207OtherTXRAILROAD MEDICARE

Other names 1

  • Texas Tech Eye Consultants Doing business as

National Provider Directory

National Provider Directory

Locations

3601 4th St
#3A101
Lubbock, TX 79430
Phone (806) 743-2018

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1972801223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27476",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270476",
            "telephone_number": "806-743-4263",
            "fax_number": "806-743-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 82ND ST BLDG 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231900",
            "telephone_number": "806-743-7244",
            "fax_number": "806-798-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "MAGERS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-743-1830"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD9207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Tech Eye Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas Tech Eye Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.