Organization Active NPI

Vericare Vision PLLC

  • Optometrist
  • Katy, TX
National Provider Identifier
1013258128
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7936T Issued in TX
Legal business name
VERICARE VISION PLLC
Practice address
1251 Pin Oak Rd Ste 128
Katy, TX 77494-5659
Phone
(281) 665-3521
Fax
(281) 310-8682
NPI assigned
Mar 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Dr. Xu Li, O.D.NPI 1194912188
Title
Optometrist/ Owner
Phone
(281) 665-3521

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 7936T TX Primary

Addresses

Primary practice location

1251 Pin Oak Rd Ste 128
Katy, TX 77494-5659

Mailing address

5023 Redleaf Forest LN
Katy, TX 77494-4934
Phone (281) 665-3521

Other identifiers 1

IdentifierTypeStateIssuer
3330953MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131010000636 TX Part B Supplier - Clinic/Group Practice 8224262027 Receives reassigned benefits from 4 practitioners
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

1200 W Oaks Mall
Houston, TX 77082
Phone (504) 427-3549

1251 Pin Oak Rd
Ste 128
Katy, TX 77494
Phone (281) 665-3521

Practitioners & affiliated clinicians

Practitioners 4

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": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1013258128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 REDLEAF FOREST LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944934",
            "telephone_number": "281-665-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 PIN OAK RD STE 128",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945659",
            "telephone_number": "281-665-3521",
            "fax_number": "281-310-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERICARE VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "XU",
        "authorized_official_title_or_position": "OPTOMETRIST/ OWNER",
        "authorized_official_telephone_number": "281-665-3521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7936T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3330953",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.

Verify at the official NPI Registry.