SAN JACINTO PROFESSIONAL OPTICAL, INC


Address: 4301 Garth Rd, Suite 103, Baytown, TX 77521-3153
Phone: 2814271147

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FC0800X Technician/Technologist
Specialization: Contact Lens
CP00264 TX Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX SPECTERA IDENTIFICATION# 84761 01
TX DAVIS VISION ID # 4674 01

Office Location

Street Address 4301 GARTH RD
SUITE 103
City BAYTOWN
State TX
Zip Code 77521-3153

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1982050241 Lynda Celeste Montgomery Family Medicine 4301 Garth Rd, Suites 302, 306, and 400, Baytown, TX 77521-3159 2016-05-05
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 156FC0800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Contact Lens

Taxonomy Definition

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]

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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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Competitor

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City BAYTOWN
Zip Code 77521

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Dataset Information

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.

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