Organization Active NPI

Eyedoc Vision Services, PLLC

  • Optometrist
  • Pearland, TX
National Provider Identifier
1083842728
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6391TG Issued in TX
Legal business name
EYEDOC VISION SERVICES, PLLC
Practice address
2730 Smith Ranch Rd Ste 114
Pearland, TX 77584-5250
Phone
(713) 436-4816
NPI assigned
Jul 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Dr. Allen Jeffy Chin, O.D.NPI 1639129984
Title
President
Phone
(713) 922-7267

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6391TG TX Primary

Addresses

Primary practice location

2730 Smith Ranch Rd Ste 114
Pearland, TX 77584-5250

Mailing address

2730 Smith Ranch Rd Ste 114
Pearland, TX 77584-5250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110331000369 TX Part B Supplier - Clinic/Group Practice 7719160530 Receives reassigned benefits from 6 practitioners
Practice locations: Katy, TX; Pearland, TX; Richmond, TX; Spring, TX

National Provider Directory

National Provider Directory

Locations

4127 Riley Fuzzel Rd
Ste 200
Spring, TX 77386
Phone (346) 372-7105

225 Cypresswood Dr
Ste C
Spring, TX 77388
Phone (346) 372-7105

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1083842728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SMITH RANCH RD STE 114",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 SMITH RANCH RD STE 114",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845250",
            "telephone_number": "713-436-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEDOC VISION SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "JEFFY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-922-7267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6391TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.