Organization Active NPI

Beaumont Family Eye Care PA

  • Vision Therapy Optometrist
  • Beaumont, TX
National Provider Identifier
1982806626
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
5974TG Issued in TX
Legal business name
BEAUMONT FAMILY EYE CARE PA
Practice address
6725 Delaware St
Beaumont, TX 77706-7655
Phone
(409) 832-4136
Fax
(409) 835-3623
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Authorized official

Name
Peter J Cass, O.D.
Title
Owner of Company
Phone
(409) 832-4136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WV0400X 5974TG TX Primary

Addresses

Primary practice location

6725 Delaware St
Beaumont, TX 77706-7655

Mailing address

6725 Delaware St
Beaumont, TX 77706-7655
Phone (409) 832-4136

Other identifiers 4

IdentifierTypeStateIssuer
0011FCOtherTXBLUECROSSBLUESHIELD OF TX
148312502MedicaidTX
7775479OtherTXAETNA
9298701005OtherTXCIGNA

National Provider Directory

National Provider Directory

Locations

3160 Fannin St
Beaumont, TX 77701
Phone (409) 338-7357

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1982806626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 DELAWARE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067655",
            "telephone_number": "409-832-4136",
            "fax_number": "409-835-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 DELAWARE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067655",
            "telephone_number": "409-832-4136",
            "fax_number": "409-835-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT FAMILY EYE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "CASS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER OF COMPANY",
        "authorized_official_telephone_number": "409-832-4136",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "5974TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD OF TX",
            "identifier": "0011FC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148312502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7775479",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9298701005",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.