Organization Active NPI

Aldine Eye Clinic PA

Doing business as East End Eye Clinic

  • Optometrist
  • Houston, TX
National Provider Identifier
1073683165
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4103T Issued in TX
Legal business name
ALDINE EYE CLINIC PA
Doing business as
East End Eye Clinic
Practice address
5164 Aldine Mail Rd
Houston, TX 77039-3802
Phone
(281) 449-7400
Fax
(281) 449-8020
NPI assigned
Nov 8, 2006
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
Dr. Ravindra S. Kankaria, O.D.NPI 1558431643
Title
President
Phone
(281) 449-7400

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
Optometrist 152W00000X 4103T TX Primary

Addresses

Primary practice location

5164 Aldine Mail Rd
Houston, TX 77039-3802

Mailing address

5164 Aldine Mail Rd
Houston, TX 77039-3802
Phone (281) 449-7400

Other names 1

  • East End Eye Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050309000760 TX Part B Supplier - Clinic/Group Practice 7315991601 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

5164 Aldine Mail Rte
Houston, TX 77039
Phone (281) 449-1400

18230 FM 1488 Rd
Ste 104
Magnolia, TX 77354
Phone (281) 252-6060

Practitioners & affiliated clinicians

Practitioners 6

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1073683165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5164 ALDINE MAIL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770393802",
            "telephone_number": "281-449-7400",
            "fax_number": "281-449-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5164 ALDINE MAIL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770393802",
            "telephone_number": "281-449-7400",
            "fax_number": "281-449-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDINE EYE CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "KANKARIA",
        "authorized_official_first_name": "RAVINDRA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-449-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4103T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East End Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, 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.