NPIMap

Organization Active NPI

Conroe Vision Associates

  • Optometrist
  • Conroe, TX
National Provider Identifier
1013199736
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TX4217 Issued in TX
Legal business name
CONROE VISION ASSOCIATES
Practice address
1422 N Loop 336 W
Conroe, TX 77304-3540
Phone
(936) 539-2020
Fax
(936) 756-7916
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Mrs. Patricia Lee Cohn
Title
Office Manager
Phone
(936) 539-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TX4217 TX Primary

Addresses

Primary practice location

1422 N Loop 336 W
Conroe, TX 77304-3540

Mailing address

1422 N Loop 336 W
Conroe, TX 77304-3540
Phone (936) 539-2020

Other names 1

  • Eyeland Doing business as

National Provider Directory

National Provider Directory

Locations

1422 N Loop 336 W
Conroe, TX 77304
Phone (936) 539-2020

Practitioners & affiliated clinicians

Practitioners 2

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": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1013199736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 N LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043540",
            "telephone_number": "936-539-2020",
            "fax_number": "936-756-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 N LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043540",
            "telephone_number": "936-539-2020",
            "fax_number": "936-756-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONROE VISION ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "COHN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "936-539-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "TX4217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyeland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.