NPIMap

Organization Active NPI

Neurosensory Center of Bellaire PA

  • Optometrist
  • Bellaire, TX
National Provider Identifier
1063607687
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4164TG Issued in TX
Legal business name
NEUROSENSORY CENTER OF BELLAIRE PA
Practice address
5001 Bissonnet St
Suite 102
Bellaire, TX 77401-4025
Phone
(713) 664-8090
Fax
(713) 664-8078
NPI assigned
Sep 6, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Ann W. Voss, O.D.NPI 1457443772
Title
President
Phone
(713) 664-8090

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4164TG TX Primary
Vision Therapy Optometrist 152WV0400X 4164TG TX

Addresses

Primary practice location

5001 Bissonnet St
Suite 102
Bellaire, TX 77401-4025

Mailing address

5001 Bissonnet St
Suite 102
Bellaire, TX 77401-4025
Phone (713) 664-8090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100104000095 TX Part B Supplier - Clinic/Group Practice 4385785088 Receives reassigned benefits from 7 practitioners
Practice locations: Bellaire, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1063607687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 BISSONNET ST",
            "address_2": "SUITE 102",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014025",
            "telephone_number": "713-664-8090",
            "fax_number": "713-664-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 BISSONNET ST",
            "address_2": "SUITE 102",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014025",
            "telephone_number": "713-664-8090",
            "fax_number": "713-664-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSENSORY CENTER OF BELLAIRE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "VOSS",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-664-8090",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4164TG",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "4164TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.