NPIMap

Organization Active NPI

Ebf Eye Pro, LLC

  • Optometrist
  • The Woodlands, TX
National Provider Identifier
1003246885
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6350 Issued in TX
Legal business name
EBF EYE PRO, LLC
Practice address
9595 Six Pines Dr
Suite 1350a
The Woodlands, TX 77380-1531
Phone
(281) 298-3755
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Emil Fadel, O.D.NPI 1972509164
Title
President
Phone
(512) 345-5642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6350 TX Primary

Addresses

Primary practice location

9595 Six Pines Dr
Suite 1350a
The Woodlands, TX 77380-1531

Mailing address

9595 Six Pines Dr
Suite 1350a
The Woodlands, TX 77380-1531
Phone (281) 298-3755

National Provider Directory

National Provider Directory

Locations

9595 Six Pines Dr
Ste 1350A
The Woodlands, TX 77380
Phone (281) 298-3755

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1003246885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9595 SIX PINES DR",
            "address_2": "SUITE 1350A",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801531",
            "telephone_number": "281-298-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9595 SIX PINES DR",
            "address_2": "SUITE 1350A",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801531",
            "telephone_number": "281-298-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBF EYE PRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "FADEL",
        "authorized_official_first_name": "EMIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-345-5642",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.