Idocs OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

TX 7409TG Issued in TX

Legal business name

IDOCS OD PA

Practice address

3450 FM 1960 Rd W
Houston, TX 77068-3606

Phone

(281) 537-0404

NPI assigned

Oct 21, 2013

Last updated

Oct 21, 2013By 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

Frank Lin, O.D.

Title

Owner

Phone

(281) 537-0404

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1073941555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 ENCLAVE AT SHADY ACRES CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081987",
            "telephone_number": "832-338-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683606",
            "telephone_number": "281-537-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDOCS OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-537-0404",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "TX 7409TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monday Bassey Idiong, MANAGER
• Idjagboro Healthcare and Medical Services Inc
• Damian Okpako Idjagboro, PA-C
• Idoc Telehealth Solutions, Inc
• Idoc Virtual Telehealth Texas
• Olufunke Olufeyi Idonor
• Mary Boluwatife Idowu, M.D.
• Modupe Idowu, M.D.
• Olakunle Idowu, M.D.
• Queen Idowu, PMHNP

• 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 Oct 21, 2013; 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.