Organization Active NPI

Kellee N. Bertsch, OD, Limited, PA

Doing business as Today's Vision Atascocita

  • Optometrist
  • Humble, TX
National Provider Identifier
1043591159
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5891TG Issued in TX
Legal business name
KELLEE N. BERTSCH, OD, LIMITED, PA
Doing business as
Today's Vision Atascocita
Practice address
6730 Atascocita Rd
Suite 101
Humble, TX 77346-1993
Phone
(281) 451-2838
Fax
(281) 852-8146
NPI assigned
Sep 1, 2011
Last updated
Sep 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Authorized official

Name
Dr. Kellee N Bertsch, O.D.
Title
Owner/Optometrist
Phone
(281) 451-2838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 5891TG TX Primary

Addresses

Primary practice location

6730 Atascocita Rd
Suite 101
Humble, TX 77346-1993

Mailing address

6730 Atascocita Road
Suite 101
Humble, TX 77346
Phone (281) 451-2838

Other names 1

  • Today's Vision Atascocita Doing business as

National Provider Directory

National Provider Directory

Locations

6730 Atascocita Rd
Ste 1
Humble, TX 77346

6730 Atascocita Rd
Ste 101
Humble, TX 77346
Phone (281) 451-2838

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1043591159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 ATASCOCITA ROAD",
            "address_2": "SUITE 101",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77346",
            "telephone_number": "281-451-2838",
            "fax_number": "281-852-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 ATASCOCITA RD",
            "address_2": "SUITE 101",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773461993",
            "telephone_number": "281-451-2838",
            "fax_number": "281-852-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEE N. BERTSCH, OD, LIMITED, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "BERTSCH",
        "authorized_official_first_name": "KELLEE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "281-451-2838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5891TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Today's Vision Atascocita",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.