COLLEGE STATION OPTICAL, PC (NPI# 1437330065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437330065 |
| Entity Type | Organization |
| Organization Name | COLLEGE STATION OPTICAL, PC |
| Practice Address |
2414 Texas Ave S Ste A College Station TX 77840-4145 |
| Practice Telephone | 9797640009 |
| Practice Fax Number | 9797647715 |
| Mailing Telephone | 9797640009 |
| Mailing Fax Number | 9797647715 |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | DR. R. JAMES MAGGS (THERAPEUTIC OPTOMETRIST) |
| Authorized Official Telephone | 9797640009 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 02481T | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS OF TX | 00E07F | 01 |
| Street Address |
2414 TEXAS AVE S STE A |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77840-4145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871944207 | Amanda Bloomberg | Optometrist | 2414 Texas Ave S Ste A, College Station, TX 77840-4145 | 2016-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780159301 | Caprock Urgent Care, LLC | Clinic/Center | 1289 University Dr. East, College Station, TX 77840 | 2018-10-10 |
| 1629586110 | Cheyenne M Gehring | Specialist/Technologist | 1725 Harvey Mitchell Pkwy S Apt 3331, College Station, TX 77840 | 2018-01-18 |
| 1003321712 | Stephen Whitt | Specialist/Technologist | 756 Houston Street, College Station, TX 77840 | 2017-12-05 |
| 1801314406 | Leanne Pool | Speech-Language Pathologist | 1805 Lawyer Place, College Station, TX 77840 | 2017-09-03 |
| 1376996728 | Joscelyn Trompeter | Specialist/Technologist | 117 Holleman Dr, Apt 8103, College Station, TX 77840 | 2016-07-21 |
| 1104297472 | E Medical Group of College Station, LLC | Home Health | 707 Texas Ave S Ste 100a, College Station, TX 77840 | 2015-10-13 |
| 1780004036 | Magnified Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 1115 Anderson Street, College Station, TX 77840 | 2014-04-24 |
| 1306084140 | Raidah Saleem Al-baradie Sr. | Psychiatry & Neurology | 1800 Holleman Drive, College Station, TX 77840 | 2009-02-02 |
| 1427238484 | Amanda Kallstrom-fuqua | Psychologist | 1600 University Drive, College Station, TX 77840 | 2007-11-07 |
| 1124141973 | William Wayner Daniels | Dentist | 303 A East University Drive, College Station, TX 77840 | 2007-04-09 |
| Find all providers in zip 77840 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235778127 | Med Southwest, Pllc | Optometrist | 850 William D Fitch Pkwy Ste 700, College Station, TX 77845-6464 | 2019-12-26 |
| 1154989622 | Christos Alexander Mcclain | Optometrist | 4081 Highway 6 S Ste 301, College Station, TX 77845-8655 | 2019-05-30 |
| 1952848558 | Daniel & Max, LLC | Optometrist | 1937 Texas Ave S, College Station, TX 77840-3913 | 2017-01-21 |
| 1982060810 | Texas State Optical College Station South PC | Optometrist | 850 William D Fitch Pkwy, Suite 700, College Station, TX 77845-6462 | 2016-01-07 |
| 1619351350 | Aggieland Eyecare | Optometrist | 505 University Dr E Ste 101, College Station, TX 77840-1790 | 2015-07-13 |
| 1790052215 | Amedco Texas LLC | Optometrist | 1101 University Dr E, Ste. 104, College Station, TX 77840-2182 | 2011-11-29 |
| 1336458793 | Sherri J Brice Od Pa | Optometrist | 1109 Rock Prairie Rd Ste 300, College Station, TX 77845-8651 | 2010-10-04 |
| 1528211737 | Thuong Le Gist | Optometrist | 1517 Texas Ave S, College Station, TX 77840-3328 | 2008-10-31 |
| 1629267026 | Karla Faye Gaar | Optometrist | 505 University Dr. E. Ste. 101, College Station, TX 77840-1790 | 2007-10-22 |
| 1831245703 | Stephen Louis Hand | Optometrist | 2746 Longmire Dr Ste B, College Station, TX 77845-5424 | 2007-01-25 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77840 |
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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.