Active NPI
Tara B. Bailey, O.D., P.a.
Doing business as Waller Family Eyecare
- Optometrist
- Waller, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7454TG
- Legal business name
- TARA B. BAILEY, O.D., P.A.
- Doing business as
- Waller Family Eyecare
- Practice address
- 31315 FM 2920 Rd
Suite 19
Waller, TX 77484-8049 - Phone
- (193) 627-2364
- Fax
- (193) 637-2324
- NPI assigned
- Dec 31, 2012
- Last updated
- Apr 8, 2013
- 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
- Dr. Tara B Bailey, OD
- Title
- Optometrist/Owner
- Phone
- (936) 372-3644
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7454TG | TX | Primary |
Addresses
Primary practice location
31315 FM 2920 Rd
Suite 19
Waller, TX 77484-8049
Mailing address
31315 FM 2920 Rd
Suite 19
Waller, TX 77484-8049
Phone (193) 627-2364
Other names 1
- Waller Family Eyecare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
31315 FM 2920 Rd
Ste 19
Waller, TX 77484
Phone (936) 372-3644
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Optometrist
- Waller, TX
- NPI 1750517348
-
- Optometrist
- Cypress, TX
- NPI 1609009885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365379200000",
"number": "1013253632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31315 FM 2920 RD",
"address_2": "SUITE 19",
"city": "WALLER",
"state": "TX",
"postal_code": "774848049",
"telephone_number": "193-627-2364",
"fax_number": "193-637-2324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31315 FM 2920 RD",
"address_2": "SUITE 19",
"city": "WALLER",
"state": "TX",
"postal_code": "774848049",
"telephone_number": "193-627-2364",
"fax_number": "193-637-2324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TARA B. BAILEY, O.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-31",
"last_updated": "2013-04-08",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "TARA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "936-372-3644",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7454TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Waller Family Eyecare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Waller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.