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NPI · 1578747275 · NPPES-sourced

Odessa Vision Center PLLC

ActiveOptometrist
NPI Number
1578747275
Type 2 · Organisation
Taxonomy Code
152W00000X
Contact
(432) 362-3133
License TX · 2713-TG
Last Updated
About 16 months ago (Jan 2025)
Enumerated 2007-12-18
Primary practice addressTX · 79762-5917
4015 Penbrook StOdessa, TX 79762-5917
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About this NPIWhat this record shows.

NPI 1578747275 is registered to Odessa Vision Center PLLC, a healthcare organisation classified as "Optometrist" and located at 4015 Penbrook St in Odessa, Texas. The organisation's authorised official is Justin Jackman. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2007-12-18
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Odessa Vision Center PLLC accepts. To confirm in-network status with your specific health plan, contact Odessa Vision Center PLLC directly at (432) 362-3133.

Frequently asked

Yes. NPI 1578747275 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (432) 362-3133.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Odessa Vision Center PLLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy152W00000X
Last updated2025-01
Enumerated2007-12-18
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Optometrist providers in Texas.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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