Optics Town & Country

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OPTICS TOWN & COUNTRY

Practice address

641 Everhart
Corpus Christi, TX 78411

Phone

(361) 854-5088

Fax

(361) 854-5088

NPI assigned

Jan 30, 2007

Last updated

Jul 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin L Fossett, OPTICIAN

Title

Owner

Phone

(361) 854-5088

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1982740379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 EVERHART",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78411",
            "telephone_number": "361-854-5088",
            "fax_number": "361-854-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 EVERHART",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78411",
            "telephone_number": "361-854-5088",
            "fax_number": "361-854-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICS TOWN & COUNTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "FOSSETT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-854-5088",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIPS",
            "identifier": "508449",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019834310",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.