TEXAS RETINA ASSOCIATES (NPI# 1093750853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093750853 |
| Entity Type | Organization |
| Organization Name | TEXAS RETINA ASSOCIATES |
| Practice Address |
4517 98th St Lubbock TX 79424-5013 |
| Mailing Address |
Po Box 650037 Dallas TX 75265-0037 |
| Practice Telephone | 8067920066 |
| Mailing Telephone | 2146962008 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2011-12-01 |
| Authorized Official Name | JEFFEREY T. BROCKETTE (CEO) |
| Authorized Official Telephone | 2146926941 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | G4476 | 05 | |
| TX | 094850703 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467461202 | Texas Retina Associates | Ophthalmology | 2627 N Masters Dr, Sherman, TX 75090-2508 | 2006-08-07 |
| 1851300792 | Texas Retina Associates | Ophthalmology | 801 W Randol Mill Rd Ste 101, Arlington, TX 76012-2505 | 2006-08-07 |
| 1821007675 | Texas Retina Associates | Ophthalmology | 1708 Coit Rd, Suite 215, Plano, TX 75075-5024 | 2006-08-07 |
| 1417999855 | Texas Retina Associates | Ophthalmology | 7150 Greenville Ave, Suite 400, Dallas, TX 75231-7900 | 2006-06-11 |
| 1629010376 | Texas Retina Associates | Ophthalmology | 7030 New Sanger Rd, Suite 102, Waco, TX 76712-3991 | 2006-06-10 |
| Street Address |
4517 98TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79424-5013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790830032 | Christopher G. Fuller | Ophthalmology | 4517 98th St, Lubbock, TX 79424-5013 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158121 | West Texas H.a.n.d. Pllc | Surgery | 5613 114th St, Lubbock, TX 79424 | 2020-09-09 |
| 1811519044 | H-e-b, Lp | Clinical Medical Laboratory | 4405 114th Street, Lubbock, TX 79424 | 2020-05-11 |
| 1184245573 | Jim Lee Lowrance | Chiropractor | 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 | 2020-04-27 |
| 1134787377 | April Denise Gardea | Speech-Language Pathologist | 6502 Slide Road Suite 204, Lubbock, TX 79424 | 2019-06-03 |
| 1215590658 | April Dawn Fortner | Counselor | 7617 86th St., Lubbock, TX 79424 | 2019-04-22 |
| 1427514561 | Thornhill Healthcare II, Inc. | Pharmacy | 6823 82nd St, Suite 600, Lubbock, TX 79424 | 2019-02-13 |
| 1174001358 | Emily Cowell | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424 | 2018-07-31 |
| 1043718786 | Edward Murphy | Pharmacist | 8702 Toledo Ave, Lubbock, TX 79424 | 2018-01-29 |
| 1013434364 | Yung Ling Tsai | Specialist/Technologist | 4707 116th Street, Lubbock, TX 79424 | 2017-08-28 |
| 1285187237 | Wter Quaker, Lp | Clinic/Center | 10205 Quaker Ave, Lubbock, TX 79424 | 2016-07-26 |
| Find all providers in zip 79424 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548616485 | Peter Clark | Ophthalmology | 3601 4th St Rm 2a100, Lubbock, TX 79430-1931 | 2016-05-10 |
| 1265810261 | William David Boothe Md Pa | Ophthalmology | 4020 21st St Ste 3, Lubbock, TX 79410-1126 | 2015-05-11 |
| 1104212661 | Coby Nielson Ray | Ophthalmology | 3601 4th St # Ms 7217, Lubbock, TX 79430-0002 | 2015-04-11 |
| 1194086561 | Donald Robert Lee May | Ophthalmology | 4611 9th St, Lubbock, TX 79416-4710 | 2012-06-01 |
| 1275796096 | Lingkun Kong | Ophthalmology | 3601 4th St Stop 7217, Lubbock, TX 79430-7217 | 2008-07-02 |
| 1558410266 | James J Boop, M.d.,p.a. | Ophthalmology | 2719 81st St, Lubbock, TX 79423-2229 | 2007-01-10 |
| 1336231265 | Charles E. Fisher Jr. | Ophthalmology | 4613 13th St, Lubbock, TX 79416-4823 | 2006-09-28 |
| 1295833614 | Frank M Ryburn IIi | Ophthalmology | 3420 23rd St, Lubbock, TX 79410-1322 | 2006-09-20 |
| 1205931136 | Billy Herbert Wilson | Ophthalmology | 4315 28th St, Suite 2, Lubbock, TX 79410 | 2006-09-14 |
| 1538262928 | John E Streit | Ophthalmology | 4014 22nd Pl, Ste 4, Lubbock, TX 79410 | 2006-09-07 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.