Oculus Interest VI, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

OCULUS INTEREST VI, LLC

Practice address

9001 Spencer Hwy Ste G
La Porte, TX 77571-3898

Phone

(346) 954-9100

Fax

(561) 828-8367

NPI assigned

Sep 25, 2020

Organization subpart

No

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

Authorized official

Name

Jackie Bennett

Title

Credentialing Supervisor

Phone

(561) 612-4531

Specialties & licenses 1

Addresses

Other names 1

• My EyeLab Doing business as

Tax ID family

My Eyelab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oculus Interest VI, LLC

  • Optometrist
  • Spring, TX
  • NPI 1083220933
  NPD tax ID

Locations

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1083221980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20115 STUEBNER AIRLINE RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773795430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 SPENCER HWY STE G",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775713898",
            "telephone_number": "346-954-9100",
            "fax_number": "561-828-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULUS INTEREST VI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "561-612-4531"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My EyeLab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northland Hearing Centers, Inc
• Schola Amoge Nwachukwu, M.D
• Stephanie L Nyberg, MS RDN LD
• Occupational Health Centers of the Southwest P.a.
• Occupational Medicine of la Porte P.a.
• Agnes U Ololo, FNP
• Cynthia Shelise Omauzo, PHARMD
• Mercy Otuomagie, RN
• Jessica Lane Packard
• Dilipkumar Chhotabhai Patel, M.D.

• Eyewear Supplier in La Porte, TX
• Providers in La Porte, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.