Organization Active NPI

Vision Max Northshore PLLC

  • Optometrist
  • Houston, TX
National Provider Identifier
1013398395
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7084 Issued in TX
Legal business name
VISION MAX NORTHSHORE PLLC
Doing business as
Vision Max
Practice address
13427 East Fwy
Houston, TX 77015-5901
Phone
(713) 450-2020
NPI assigned
Jun 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Authorized official

Name
John Dang, O.D.
Title
Owner
Phone
(832) 681-6998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7084 TX Primary

Addresses

Primary practice location

13427 East Fwy
Houston, TX 77015-5901

Mailing address

954 Old Oyster TRL
Sugar Land, TX 77478-4510
Phone (713) 450-2020

Other identifiers 1

IdentifierTypeStateIssuer
2126310MedicaidTX

Other names 1

  • Vision Max Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1013398395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 OLD OYSTER TRL",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784510",
            "telephone_number": "713-450-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13427 EAST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155901",
            "telephone_number": "713-450-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION MAX NORTHSHORE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-681-6998",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2126310",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Max",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.