CERTIFIED CC OPTICIANS NPI 1902979792

NPI Information

  • NPI: 1902979792
  • Provider Name: CERTIFIED CC OPTICIANS
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Organization
  • Doing Business As: PUBLIC WHOLESALE OPTICAL
  • Address: 1173 E 42ND STREET
    ODESSA, TX
    ZIP 79762
  • Phone: (432) 367-9401

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NPI Details

CERTIFIED CC OPTICIANS is an optician technician technologist in Odessa, TX. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. CERTIFIED CC OPTICIANS NPI is 1902979792. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Public Wholesale Optical.

The provider's business location address is:

1173 E 42ND STREET
ODESSA, TX
ZIP 79762
Phone: (432) 367-9401
Fax: (432) 362-2327

The provider's authorized official is Terry Lynn Cook .
The authorized official title is Optician Owner and has the following contact phone number (432) 367-9401.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOpticianABO3472TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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