Amber Dorsey – Optician in Corsicana, TX

Key facts

NPI: 1972934479
Entity type: Individual (NPI type 1)
Primary specialty: Optician 156FX1800X
License: DR4133 (TX)
Practice address: 111 W 3Rd Ave
Suite a
Corsicana, TX 75110-4667
Phone: (903) 641-0060
NPI assigned: Dec 9, 2013
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
DR4133	TX	MD	Optician

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Optician	156FX1800X	DR4133	TX	Yes

Addresses

Primary practice location

111 W 3Rd Ave
Suite a
Corsicana, TX 75110-4667

Mailing address

111 W 3Rd Ave
Suite a
Corsicana, TX 75110-4667

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 9, 2013.

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1972934479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W 3RD AVE",
            "address_2": "SUITE A",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751104667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 3RD AVE",
            "address_2": "SUITE A",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751104667",
            "telephone_number": "903-641-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "TX",
            "license": "DR4133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corsicana, TX

All providers in Corsicana, TX · Optician in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.