SAN JACINTO PROFESSIONAL OPTICAL, INC (NPI# 1316083736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316083736 |
Entity Type | Organization |
Organization Name | SAN JACINTO PROFESSIONAL OPTICAL, INC |
Practice Address |
4301 Garth Rd Suite 103 Baytown TX 77521-3153 |
Practice Telephone | 2814271147 |
Practice Fax Number | 2814224959 |
Mailing Telephone | 2814271147 |
Mailing Fax Number | 2814224959 |
Enumeration Date | 2007-01-30 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. MARTIN J ARISCO (PRESIDENT) |
Authorized Official Telephone | 2814271147 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
CP00264 | TX | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | SPECTERA IDENTIFICATION# | 84761 | 01 |
TX | DAVIS VISION ID # | 4674 | 01 |
Street Address |
4301 GARTH RD SUITE 103 |
City | BAYTOWN |
State | TX |
Zip Code | 77521-3153 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265435572 | Baytown Plastic Surgery, P.a. | Plastic Surgery | 4301 Garth Rd, Ste 101, Baytown, TX 77521-3157 | 2005-05-31 |
1962927426 | Maria Isabel Munoz | Counselor | 4301 Garth Rd, 302,306,400, Baytown, TX 77521-3159 | 2017-08-06 |
1306374749 | Michael Lee Ham | Counselor | 4301 Garth Rd, Baytown, TX 77521 | 2017-05-30 |
1205369915 | Berlondrika Jertoria Mcneal | Student in an Organized Health Care Education/Training Program | 4301 Garth Rd, Baytown, TX 77521-3153 | 2017-04-10 |
1851741805 | Adrienne Kicza | Family Medicine | 4301 Garth Rd, Suite 400, Baytown, TX 77521-3153 | 2016-06-20 |
1982050241 | Lynda Celeste Montgomery | Family Medicine | 4301 Garth Rd, Suites 302, 306, and 400, Baytown, TX 77521-3159 | 2016-05-05 |
1093127540 | Eli Newsome | Family Medicine | 4301 Garth Rd, 302, 306 and 400, Baytown, TX 77521-3153 | 2014-06-02 |
1699117523 | Legacy Community Health Services, Inc | Clinic/Center | 4301 Garth Rd, Suite 302, 306, and 400, Baytown, TX 77521-3153 | 2013-07-19 |
1205181419 | Sameera Jabeen | Family Medicine | 4301 Garth Rd, Ste 400, Baytown, TX 77521-3153 | 2012-07-13 |
1366705139 | David J Cherian | Family Medicine | 4301 Garth Rd, Suite 400, Baytown, TX 77521-3153 | 2012-06-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841832805 | Brenda Joyce Frederick | Technician | 919 Northwood Dr #7105, Baytown, TX 77521 | 2019-10-11 |
1073168746 | Next Level Mv LLC | Clinic/Center | 7710 Garth Road, Ste A, Baytown, TX 77521 | 2019-08-08 |
1306304019 | Rani Benson | Licensed Practical Nurse | Houston Methodist Baytown Hospital, 4401 Garth Road, Bay Town, TX 77521 | 2019-03-12 |
1073091146 | Providence Er of Baytown Pllc | Clinic/Center | 0 Garth Rd, Baytown, TX 77521 | 2018-08-01 |
1083100648 | Shelbi Lynn Weatherly | Nurse Practitioner | 621-1 Rollingbrook Dr, Baytown, TX 77521 | 2018-07-06 |
1922592278 | Charleston Espanol | Dentist | 6360 Garth Rd #105, Baytown, TX 77521 | 2018-06-20 |
1013437334 | Manish Shanker | Dentist | 7922 Cheyenne Court, Baytown, TX 77521 | 2017-06-27 |
1306366299 | H-e-b, Lp | Clinical Medical Laboratory | 6430 Garth Road, Baytown, TX 77521 | 2017-06-22 |
1942756184 | Alisa Dill | Dentist | 6331 Garth Rd., Suite 100, Baytown, TX 77521 | 2016-08-28 |
1447605472 | Metx, LLC | Audiologist-Hearing Aid Fitter | 1109 W Baker Rd, Ste C, Baytown, TX 77521 | 2016-04-27 |
Find all providers in zip 77521 |
Taxonomy Code | 156FC0800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Contact Lens |
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386067676 | Fernando A. Romero, Md, Pa | Technician/Technologist | 701 S Fry Rd Ste 125, Katy, TX 77450-2245 | 2014-01-23 |
1073948972 | Jvs, LLC | Technician/Technologist | 3414 Ne 24th Ave, Amarillo, TX 79107-6987 | 2013-09-10 |
1164781803 | Rosa Serrano | Technician/Technologist | 1510 N Zaragoza Rd Ste A4, El Paso, TX 79936-7974 | 2012-05-15 |
1518107598 | Jana Lou Gibson | Technician/Technologist | 929 Jodie Dr, Weatherford, TX 76087-4241 | 2009-03-03 |
1477747376 | Daw-ching Yu | Technician/Technologist | 9356 Bellaire Blvd, Houston, TX 77036-4504 | 2007-09-04 |
1952407801 | James Edward Layton | Technician/Technologist | 2617 Morgan Ave, Corpus Christi, TX 78405-1808 | 2006-09-16 |
1285667725 | Vision Tech Optical | Technician/Technologist | 2310 N Expressway, Suite G, Brownsville, TX 78521-0903 | 2006-07-08 |
1467086868 | Jonathan Johnson | Technician/Technologist | 6757 Arapaho Rd Ste 707, Dallas, TX 75248-4073 | 2020-02-25 |
1225406994 | Joel Scalf | Technician/Technologist | 3414 Ne 24th Ave, Amarillo, TX 79107-6987 | 2015-09-11 |
1740554096 | Isabel P De La Torre | Technician/Technologist | 220 W Hillside Rd, Suite 9, Laredo, TX 78041-6903 | 2012-03-05 |
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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.