MED SOUTHWEST, PLLC (NPI# 1083222111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083222111 |
| Entity Type | Organization |
| Organization Name | MED SOUTHWEST, PLLC |
| Practice Address |
1030 East Hwy 377 Ste 106 Granbury TX 76048-1457 |
| Mailing Address |
1950 Old Gallows Rd Ste 520 Vienna VA 22182-3970 |
| Practice Telephone | 8175788484 |
| Practice Fax Number | 8175791329 |
| Mailing Telephone | 7038478899 |
| Mailing Fax Number | 5712236780 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Authorized Official Name | SUE DOWNES (SECRETARY) |
| Authorized Official Telephone | 7038478899 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140543 | Med Southwest, Pllc | Optometrist | 127 N 5th St, Silsbee, TX 77656-4030 | 2020-09-30 |
| 1093323123 | Med Southwest, Pllc | Optometrist | 104 E Us Highway 80 Ste 100, Forney, TX 75126-8616 | 2020-07-15 |
| 1255949384 | Med Southwest, Pllc | Optometrist | 425 E Pleasant Run Rd Ste 299, Cedar Hill, TX 75104-1883 | 2020-07-15 |
| 1992313027 | Med Southwest, Pllc | Optometrist | 1929 W State Highway 46 Ste 103, New Braunfels, TX 78132-5337 | 2020-07-15 |
| 1639701196 | Med Southwest, Pllc | Optometrist | 3600 Fm 407 E Ste 190, Lantana, TX 76226-9743 | 2020-02-12 |
| 1225677115 | Med Southwest, Pllc | Optometrist | 231 E Fm 544 Ste 707, Murphy, TX 75094-4048 | 2019-12-26 |
| 1558900373 | Med Southwest, Pllc | Optometrist | 6725 Deleware Street, Beaumont, TX 77706-7655 | 2019-12-26 |
| 1235778127 | Med Southwest, Pllc | Optometrist | 850 William D Fitch Pkwy Ste 700, College Station, TX 77845-6464 | 2019-12-26 |
| 1306482385 | Med Southwest, Pllc | Optometrist | 4110 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| 1245876309 | Med Southwest, Pllc | Optometrist | 2301 Eldorado Pkwy Ste 200, Mckinney, TX 75070-7527 | 2019-11-25 |
| Street Address |
1030 EAST HWY 377 STE 106 |
| City | GRANBURY |
| State | TX |
| Zip Code | 76048-1457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213415 | Tena Lee Wood I | Licensed Practical Nurse | 302 S. Crites Granbury Tx. 76048, 302 S. Crites Granbury Tx. 76048, Granbury, TX 76048 | 2019-12-26 |
| 1811456593 | Laura Nicole Graham | Counselor | 2101 West Pearl Street, Granbury, TX 76048 | 2019-03-13 |
| 1477000974 | Globalrehab - Fort Worth, Lp | Rehabilitation Hospital | 805 Hill Blve, Ste 109, Granbury, TX 76048 | 2016-09-01 |
| 1780130245 | Rachel Diane Rouse | Counselor | 1903 W Pearl Street, Granbury, TX 76048 | 2016-08-25 |
| 1477946648 | Adriana Brown | Nurse Practitioner | 805 Hill Blvd., #104, Granbury, TX 76048 | 2015-03-12 |
| 1407261233 | Rogers King Coleman | General Practice | 1411 Crawford Street, Granbury, TX 76048 | 2014-07-01 |
| 1891115176 | Trinity Nursing and Rehabilitation of Granbury, Lp | Skilled Nursing Facility | 600 Reunion Court, Granbury, TX 76048 | 2014-04-24 |
| 1639507122 | Kayelen Helton | Counselor | 807 Paluxy Road, Granbury, TX 76048 | 2013-10-22 |
| 1013257799 | Pecan Valley Mhmr Region | Counselor | 2101 W. Pearl St., Granbury, TX 76048 | 2013-02-18 |
| 1114240223 | Talbot Green Mccormick Jr. | General Practice | 2306 Cologne Dr., Granbury, TX 76048 | 2010-03-03 |
| Find all providers in zip 76048 | ||||
| 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 |
|---|---|---|---|---|
| 1891051660 | Rajal Goswami Noorali | Optometrist | 735 E Hwy 377, Granbury, TX 76048-2578 | 2012-04-05 |
| 1821155417 | James I Hart | Optometrist | 735 Hwy 377 E, Granbury, TX 76048 | 2007-01-02 |
| 1043387277 | Bryan Mcdaniel | Optometrist | 1030 E Hwy 377 Ste 106, Granbury, TX 76048-1457 | 2006-11-30 |
| 1184613739 | Bruce B Wadley | Optometrist | 1101 Waters Edge Dr, Suite 104, Granbury, TX 76048-1474 | 2005-10-17 |
| 1134122260 | Robert Brian Yeaman | Optometrist | 223 S Morgan St, Granbury, TX 76048-1953 | 2005-05-23 |
| 1245682665 | Jessica Kenney | Optometrist | 223 S Morgan St, Granbury, TX 76048-1953 | 2016-07-09 |
| 1063822252 | Stellar Vision Corporation | Optometrist | 735 E Highway 377, Granbury, TX 76048-2578 | 2014-04-28 |
| 1700071883 | Granbury Eye Care PC | Optometrist | 1101 Waters Edge Dr, Ste 104, Granbury, TX 76048-1474 | 2007-09-11 |
| 1376696427 | Gregg Duistermars | Optometrist | 1201 Medical Plaza Ct, Granbury, TX 76048-5684 | 2007-01-20 |
| 1073518072 | Courtney Cheyne Cobbs | Optometrist | 223 S Morgan St, Granbury, TX 76048-1953 | 2005-06-16 |
| Find all providers in GRANBURY | ||||
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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.