Texas Eye Prosthetics LLC

Primary specialty

OcularistTaxonomy code 156FX1700X

Legal business name

TEXAS EYE PROSTHETICS LLC

Practice address

4203 Montrose Blvd Ste 380
Houston, TX 77006-5467

Phone

(713) 524-1001

Fax

(713) 524-1004

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Robin Nell Dudash, B.C.O.

Title

Sole MBR/Owner/President

Phone

(713) 524-1001

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1043498116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 MONTROSE BLVD STE 380",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065467",
            "telephone_number": "713-524-1001",
            "fax_number": "713-524-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 MONTROSE BLVD STE 380",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065467",
            "telephone_number": "713-524-1001",
            "fax_number": "713-524-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS EYE PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "DUDASH",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "NELL",
        "authorized_official_title_or_position": "SOLE MBR/OWNER/PRESIDENT",
        "authorized_official_telephone_number": "713-524-1001",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.C.O."
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ocularist in Houston, TX
• Providers in Houston, TX by specialty
• Ocularist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.