Organization Active NPI

Vision Source - Chambers Town Center PLLC

  • Optometrist
  • Baytown, TX
National Provider Identifier
1073047734
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION SOURCE - CHAMBERS TOWN CENTER PLLC
Practice address
8804 N Highway 146
Suite #130
Baytown, TX 77523-9022
Phone
(281) 543-5245
NPI assigned
Apr 19, 2017
Last updated
Apr 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Steven H Lai
Title
Owner
Phone
(281) 543-5245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

8804 N Highway 146
Suite #130
Baytown, TX 77523-9022

Mailing address

8804 N Highway 146
Suite #130
Baytown, TX 77523-9022
Phone (281) 543-5245

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170524001831 TX Part B Supplier - Clinic/Group Practice 5193092054 Receives reassigned benefits from 3 practitioners
Practice locations: Baytown, TX

National Provider Directory

National Provider Directory

Locations

8804 N Highway 146
Ste 130
Baytown, TX 77523
Phone (281) 543-5245

Practitioners & affiliated clinicians

Practitioners 3

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": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1073047734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8804 N HIGHWAY 146",
            "address_2": "SUITE #130",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775239022",
            "telephone_number": "281-543-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8804 N HIGHWAY 146",
            "address_2": "SUITE #130",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775239022",
            "telephone_number": "281-543-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SOURCE - CHAMBERS TOWN CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-543-5245"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.