Organization Active NPI

Eye Concepts- Conroe LLC

  • Optometrist
  • Conroe, TX
National Provider Identifier
1053575712
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE CONCEPTS- CONROE LLC
Practice address
2210 Interstate 45 N
Conroe, TX 77301-1706
Phone
(936) 788-2020
NPI assigned
Jul 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Authorized official

Name
Dr. Thao Nguyen, O.D.NPI 1700040912
Title
President
Phone
(713) 295-1899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2210 Interstate 45 N
Conroe, TX 77301-1706

Mailing address

2210 Interstate 45 N
Conroe, TX 77301-1706

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090423000581 TX Part B Supplier - Clinic/Group Practice 4880742253 Receives reassigned benefits from 2 practitioners
Practice locations: Conroe, TX; Montgomery, TX

National Provider Directory

National Provider Directory

Locations

2210 Interstate 45 N
Conroe, TX 77301
Phone (713) 295-1899

Practitioners & affiliated clinicians

Practitioners 2

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": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1053575712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 INTERSTATE 45 N",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 INTERSTATE 45 N",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011706",
            "telephone_number": "936-788-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CONCEPTS- CONROE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-295-1899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.