Active NPI
Retina and Vitreous of Texas PLLC
- Ophthalmology Physician
- Bellaire, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- RETINA AND VITREOUS OF TEXAS PLLC
- Practice address
- 6565 West Loop S Ste 400
Bellaire, TX 77401-3510 - Phone
- (713) 799-9975
- Fax
- (713) 799-1095
- NPI assigned
- Dec 16, 2005
- Last updated
- Aug 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph A Khawly, MD
- Title
- Ceo
- Phone
- (713) 799-9975
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | NU | Primary |
Addresses
Primary practice location
6565 West Loop S Ste 400
Bellaire, TX 77401-3510
Mailing address
6565 West Loop S Ste 400
Bellaire, TX 77401-3510
Phone (713) 799-9975
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0950032 02 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2182801 | Retina and Vitreous of Texas, PLLC | Certificate of waiver | Apr 26, 2028 |
National Provider Directory
National Provider DirectoryLocations
3345 Plaza 10 Dr
Ste B
Beaumont, TX 77707
Phone (409) 833-0009
1205 S Austin St
Brenham, TX 77833
Phone (979) 251-9988
100 Medical Center Blvd
Ste 218
Conroe, TX 77304
Phone (926) 539-2882
2727 Gramercy St
Ste 200
Houston, TX 77025
8588 Katy Fwy
Ste 101
Houston, TX 77024
Phone (713) 467-0990
19747 Highway 59 N
Ste 320
Humble, TX 77338
Phone (281) 548-0095
750 Westgreen Blvd
Ste 250
Katy, TX 77450
1105 W Frank Ave
Ste 300
Lufkin, TX 75904
2734 Sunrise Blvd
Ste 303
Pearland, TX 77584
15200 Southwest Fwy
Ste 292
Sugar Land, TX 77478
Phone (281) 431-5511
15999 City Walk
Ste 290
Sugar Land, TX 77479
455 School St
Ste 47
Tomball, TX 77375
Phone (281) 351-7483
101 W Goodwin Ave
Ste 430
Victoria, TX 77901
920 Clear Lake City Blvd
Ste 200
Webster, TX 77598
Practitioners & affiliated clinicians
Practitioners 25
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Houston, TX
- NPI 1215919998
-
- Retina Specialist (Ophthalmology) Physician
- Bellaire, TX
- NPI 1083877740
-
- Retina Specialist (Ophthalmology) Physician
- Bellaire, TX
- NPI 1356929251
-
- Ophthalmology Physician
- Houston, TX
- NPI 1639168081
-
- Retina Specialist (Ophthalmology) Physician
- Bellaire, TX
- NPI 1437654159
-
- Ophthalmology Physician
- Houston, TX
- NPI 1437302049
-
- Ophthalmology Physician
- Bellaire, TX
- NPI 1982967998
-
- Ophthalmology Physician
- Houston, TX
- NPI 1962630335
-
- Ophthalmology Physician
- Bellaire, TX
- NPI 1558030916
-
- Ophthalmology Physician
- Waco, TX
- NPI 1316155443
-
- Retina Specialist (Ophthalmology) Physician
- San Antonio, TX
- NPI 1245212232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724198400000",
"number": "1003892597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6565 WEST LOOP S STE 400",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774013510",
"telephone_number": "713-799-9975",
"fax_number": "713-799-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 WEST LOOP S STE 400",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774013510",
"telephone_number": "713-799-9975",
"fax_number": "713-799-1095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RETINA AND VITREOUS OF TEXAS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-16",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A",
"authorized_official_last_name": "KHAWLY",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "713-799-9975",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0950032 02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.