Champions Eyecare PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2671T Issued in TX

Legal business name

CHAMPIONS EYECARE PC

Doing business as

TEXAS STATE OPTICAL OF CHAMPIONS VILLAGE

Practice address

5774 FM 1960 Rd W
Houston, TX 77069-4204

Phone

(281) 440-5887

Fax

(281) 440-0368

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Wayne Maltz, O.D.

Title

President

Phone

(281) 440-5887

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• TEXAS STATE OPTICAL OF CHAMPIONS VILLAGE Doing business as

Locations

Practitioners 6

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

• Deanna Gates, O.D.

  • Optometrist
  • Cypress, TX
  • NPI 1669888533
  NPD (past)
• Dieu-Hong Thi Ho, OD

  • Optometrist
  • Houston, TX
  • NPI 1538511241
  NPD (past)
• Jenny Ka-Yee Mak, O.D.

  • Optometrist
  • Houston, TX
  • NPI 1649435827
  NPD (past)
• Thomas James Markus, O.D.

  • Optometrist
  • Houston, TX
  • NPI 1467419903
  NPD (past)
• Priyanka Patel

  • Optometrist
  • Houston, TX
  • NPI 1790409894
  NPD (past)
• Nicole Anderson, OD

  • Optometrist
  • Goodyear, AZ
  • NPI 1972986537
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1063639698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5774 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694204",
            "telephone_number": "281-440-5887",
            "fax_number": "281-440-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5774 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694204",
            "telephone_number": "281-440-5887",
            "fax_number": "281-440-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPIONS EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MALTZ",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-440-5887",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2671T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DP3464",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00749723",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEXAS STATE OPTICAL OF CHAMPIONS VILLAGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thelma Champion, D.C.
• Tiffany Champion, RIGISTERED NURSE
• Yvonne Champion, LCSW
• Champions Behavioral Health P.L.L.C.
• Champions Chiropractic Center, LLC
• Champions Family Pharmacy Inc.
• Champions for Life Personal Care Facility
• Champions Mental Health & Wellness
• Champions Modern Dentistry, PC
• Champions Plaza Laboratories, L.L.C.

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

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.