Woodlands 2020 Vision

Primary specialty

OptometristTaxonomy code 152W00000X

License

5527TG Issued in TX

Legal business name

WOODLANDS 2020 VISION

Doing business as

woodlands 2020 vision

Practice address

1440 Lake Woodlands Dr
Spring, TX 77380-3273

Phone

(832) 412-2020

NPI assigned

Nov 6, 2014

Last updated

Nov 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Crosby W Wallace, OD

Title

Ceo/Optometrist

Phone

(281) 355-9090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• woodlands 2020 vision Doing business as

Locations

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1073919833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 LAKE WOODLANDS DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803273",
            "telephone_number": "832-412-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 LAKE WOODLANDS DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803273",
            "telephone_number": "832-412-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS 2020 VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "CROSBY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO/OPTOMETRIST",
        "authorized_official_telephone_number": "281-355-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5527TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092991101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "woodlands 2020 vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caleb Lewis Wood
• Maria Rodrigues Wood, COTA
• Victoria Lynne Wood
• Woodforest Speech Therapy, PLLC
• Woodlake Diagnostic Services PLLC
• Woodlands Elite Dental Partners, PLLC (Woodlands Dental Partners)
• Woodlands Fec LLC (St Michaels Emergency Room)
• Woodlands Foot Surgery, PLLC
• Woodlands Group Health, LLC
• Woodlands Health Group, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.