NPIMap

Organization Active NPI

Second Texas Optometric PC

  • Optometrist
  • The Woodlands, TX
National Provider Identifier
1043935562
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SECOND TEXAS OPTOMETRIC PC
Practice address
402 Sawdust Rd
The Woodlands, TX 77380-2243
Phone
(281) 363-2020
NPI assigned
Oct 6, 2022
Organization subpart
Yes
Parent organization
SECOND TEXAS OPTOMETRIC PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Tammi Allsep, OD
Title
Owner
Phone
(281) 513-8100

Specialties & licenses 1

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

Addresses

Primary practice location

402 Sawdust Rd
The Woodlands, TX 77380-2243

Mailing address

3333 Quality Dr
Rancho Cordova, CA 95670-7985
Phone (704) 712-0564

Other names 1

  • EyeTrends-Woodlands Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230718002898 TX Part B Supplier - Clinic/Group Practice 6305206673 Receives reassigned benefits from 20 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: The Woodlands, TX; Spring, TX; Houston, TX

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Second Texas Optometric PC4 organizations share this tax ID, including this one
Part of
Second Texas Optometric PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

127 Greens Rd
Houston, TX 77060
Phone (281) 826-2020

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1043935562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 QUALITY DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707985",
            "telephone_number": "704-712-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 SAWDUST RD",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802243",
            "telephone_number": "281-363-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND TEXAS OPTOMETRIC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SECOND TEXAS OPTOMETRIC PC",
        "enumeration_date": "2022-10-06",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "ALLSEP",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-513-8100",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeTrends-Woodlands",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EyeTrends-Woodlands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.