PERMIAN BASIN EYE CARE CENTER LLC (NPI# 1578879102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578879102 |
| Entity Type | Organization |
| Organization Name | PERMIAN BASIN EYE CARE CENTER LLC |
| Other Organization Name | TEXAS COUNTRY EYE CARE |
| Practice Address |
2200 W Wadley Ave Ste 22 Midland TX 79705-6438 |
| Practice Telephone | 4326847287 |
| Practice Fax Number | 4326847297 |
| Mailing Telephone | 4326847287 |
| Mailing Fax Number | 4326847297 |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |
| Authorized Official Name | BLAKE GOLSON (OWNER) |
| Authorized Official Telephone | 4326616579 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 7598T | TX | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Texas Country Eye Care | Doing Business As Name - Organization |
| Street Address |
2200 W WADLEY AVE STE 22 |
| City | MIDLAND |
| State | TX |
| Zip Code | 79705-6438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275724338 | Summer Alexander Merritt | Family Medicine | 2200 W Wadley Ave, Suite #10, Midland, TX 79705-6438 | 2007-08-05 |
| 1497047781 | Four Seasons Health and Wellness | Clinic/Center | 2200 W Wadley Ave, Suite 10, Midland, TX 79705-6438 | 2011-05-05 |
| 1992019301 | Blake Elliot Golson | Optometrist | 2200 W Wadley Ave, 22, Midland, TX 79705-6438 | 2010-07-28 |
| 1518271949 | Heather Marie Kern Golson | Optometrist | 2200 W Wadley Ave, Ste 22, Midland, TX 79705-6438 | 2010-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949915 | Diyora Amanova | Dentist | 2817-b, Loop 250 Frontage Rd, Midland, TX 79705 | 2020-07-08 |
| 1821610205 | Winners Circle Group of Tx | Community/Behavioral Health | 4405 N Garfield Street, Apt. 1005, Midland, TX 79705 | 2020-05-08 |
| 1619523644 | Lillian Moreno | Physician Assistant | 3600 N Garfield St., Midland, TX 79705 | 2019-08-15 |
| 1689229429 | Michelle Ray | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Science Center, 3600 N. Garfield, Midland, TX 79705 | 2019-08-08 |
| 1649825001 | Marlene Cereceres | Student in an Organized Health Care Education/Training Program | 3600 N. Garfield, Midland, TX 79705 | 2019-08-02 |
| 1194370627 | Brianne Marie Hanson | Student in an Organized Health Care Education/Training Program | 3600 North Garfield, Midland, TX 79705 | 2019-08-01 |
| 1841844685 | Stephanie Ann Johnson | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Sciences Center, 3600 N. Garfield, Midland, TX 79705 | 2019-07-30 |
| 1013560093 | Andrea Silva | Licensed Practical Nurse | 2903 Ncr 1140, Midland, TX 79705 | 2019-07-19 |
| 1417509332 | Ananya Das | Physician Assistant | 3600 North Garfield St., Midland, TX 79705 | 2019-07-11 |
| 1023571767 | Wecare Tlc- Pioneer Mco | Clinic/Center | 3617 N Big Sping, Midland, TX 79705 | 2019-04-10 |
| Find all providers in zip 79705 | ||||
| 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 |
|---|---|---|---|---|
| 1548861164 | Daniel & Max, LLC | Optometrist | 3110 N Loop 250 W, Suite 200, Midland, TX 79707 | 2020-11-02 |
| 1134469190 | Bobby G Ray Od Pa | Optometrist | 4400 N Midland Dr Ste 404, Midland, TX 79707-3388 | 2013-02-27 |
| 1255567202 | William R Houser Od | Optometrist | 217 N Saginaw Rd, Midland, MI 48640-3350 | 2009-06-04 |
| 1790966646 | Scott M. Buckingham, Od PC | Optometrist | 2808 W Wackerly St, Suite 1, Midland, MI 48640-6997 | 2007-11-20 |
| 1528269396 | Norman Gould | Optometrist | 4511 N Midkiff Rd Ste A1, Midland, TX 79705-3237 | 2007-05-30 |
| 1043341811 | Eye Center of Midland, P.a. | Optometrist | 2706 W Cuthbert Ave Ste A, Midland, TX 79701-3885 | 2007-03-07 |
| 1962547299 | Errol Raymond Congleton | Optometrist | 509 S Saginaw Rd, Midland, MI 48640-4516 | 2007-02-21 |
| 1255474771 | Deanna Hiroko Masunaga | Optometrist | 5701 Highland Blvd, Midland, TX 79707-5024 | 2007-02-15 |
| 1396805123 | Stephen Lee Hankinson | Optometrist | 3415 Andrews Hwy, Midland, TX 79703-5149 | 2006-12-11 |
| 1073612107 | T K Johnson | Optometrist | 5908 Eastman Ave, Midland, MI 48640-6748 | 2006-09-22 |
| Find all providers in MIDLAND | ||||
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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.