Individual provider Active NPI

William Trent Tadlock, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1043443849
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7358T Issued in TX
Practice address
6699 Chimney Rock Rd
Ste. 103
Houston, TX 77081-5358
Phone
(713) 661-6500
NPI assigned
Aug 26, 2009
Last updated
Aug 26, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7358T TX Primary

Addresses

Primary practice location

6699 Chimney Rock Rd
Ste. 103
Houston, TX 77081-5358

Mailing address

6699 Chimney Rock Rd
Ste. 103
Houston, TX 77081-5358
Phone (713) 661-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091002000555 TX Practitioner - Optometry 7618013723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellaire Eye Consultants, PAGroup PAC ID 9830103043, 7 clinicians

Practice addresses (Care Compare)

6330 W Loop S
Suite 100
Bellaire, TX 77401-2904
Phone (713) 661-6500

Merit-based Incentive Payment System (MIPS)

Final score
92.11 of 100Reported as group
Quality
99.98
Improvement activities
40
Cost
73.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7358TXMDBehavioral Analyst
7358TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellaire Eye Consultants, PA CurrentSince Sep 1, 2009 Accepting new patients

Locations

6330 West Loop S
Ste 100
Bellaire, TX 77401
Phone (713) 661-6500

11301 Fallbrook Dr
Ste 202
Houston, TX 77065
Phone (281) 955-6272

11914 Astoria Blvd
Ste 460
Houston, TX 77089
Phone (281) 484-1186

6699 Chimney Rock Rd
Ste 201
Houston, TX 77081
Phone (713) 533-1700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1043443849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6699 CHIMNEY ROCK RD",
            "address_2": "STE. 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815358",
            "telephone_number": "713-661-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6699 CHIMNEY ROCK RD",
            "address_2": "STE. 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815358",
            "telephone_number": "713-661-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADLOCK",
        "first_name": "WILLIAM",
        "middle_name": "TRENT",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7358T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.