Surgical Eye Associates, P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

F0436 Issued in TX

Legal business name

SURGICAL EYE ASSOCIATES, P.A.

Practice address

1631 North Loop W
Suite 500
Houston, TX 77008-1500

Phone

(713) 869-6400

Fax

(713) 869-6498

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter Sutherland Dawson, M.D.

Title

President

Phone

(713) 869-6400

Specialties & licenses 8

Addresses

Other identifiers 1

Other names 1

• VISTA OPTICAL Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1043389778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 NORTH LOOP W",
            "address_2": "SUITE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081500",
            "telephone_number": "713-869-6400",
            "fax_number": "713-869-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 NORTH LOOP W",
            "address_2": "SUITE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081500",
            "telephone_number": "713-869-6400",
            "fax_number": "713-869-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL EYE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "SUTHERLAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-869-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05253T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "03629TG",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "TX",
            "license": "165108",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "TX",
            "license": "158119",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "F0436",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G8431",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G2587",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L8692",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083903701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISTA OPTICAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Ophthalmology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.