Organization Active NPI

KVT Vision L.L.C

  • Optometrist
  • Houston, TX
National Provider Identifier
1023368909
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6470
Legal business name
KVT VISION L.L.C
Practice address
12194 Veterans Memorial Dr
Houston, TX 77067-1004
Phone
(713) 859-9330
NPI assigned
Sep 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Dr. Kim Vu Tran, ODNPI 1538362397
Title
Optometrist/President
Phone
(713) 859-9330

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 6470 Primary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X 6470

Addresses

Primary practice location

12194 Veterans Memorial Dr
Houston, TX 77067-1004

Mailing address

8738 Cypressbrook Dr
Houston, TX 77095-3096
Phone (713) 859-9330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130212000166 TX Part B Supplier - Clinic/Group Practice 3971757329 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

12194 Veterans Memorial Dr
Houston, TX 77067
Phone (281) 781-8724

Practitioners & affiliated clinicians

Practitioners 1

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": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1023368909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8738 CYPRESSBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770953096",
            "telephone_number": "713-859-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12194 VETERANS MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770671004",
            "telephone_number": "713-859-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KVT VISION L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "VU",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "713-859-9330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": "6470",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": "6470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 6, 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.

Verify at the official NPI Registry.