Clear Lake Eye Center PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4230-TG Issued in TX

Legal business name

CLEAR LAKE EYE CENTER PLLC

Practice address

17040 Highway 3
Webster, TX 77598-4129

Phone

(281) 338-8474

Fax

(281) 338-4795

NPI assigned

Nov 14, 2013

Last updated

Nov 14, 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

Jacqueline S Brending, O.D.NPI 1306907795

Title

Doctor

Phone

(281) 338-8474

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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.

• Jacqueline Sue Brending, O. D.

  • Optometrist
  • Webster, TX
  • NPI 1306907795
  Medicare reassignment Care Compare group NPD Authorized official
• Gabrielle Brending, OD

  • Optometrist
  • Webster, TX
  • NPI 1073341723
  Medicare reassignment Care Compare group NPD
• Nikkie A Keeya, OD

  • Optometrist
  • Houston, TX
  • NPI 1902641616
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1093145807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17040 HIGHWAY 3",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984129",
            "telephone_number": "281-338-8474",
            "fax_number": "281-338-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17040 HIGHWAY 3",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984129",
            "telephone_number": "281-338-8474",
            "fax_number": "281-338-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR LAKE EYE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "BRENDING",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "281-338-8474",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4230-TG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7761-TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clear Lake Cardiology PLLC
• Clear Lake Cardiovascular Care PA
• Clear Lake Children's Center
• Clear Lake Dermatology, PLLC (Clear Lake Dermatology)
• Clear Lake Eye Center
• Clear Lake Foot & Ankle Specialist PA
• Clear Lake Healthcare (South Houston Treatment Center LLC d/b/a Clear Lake Healthcare)
• Clear Lake Hospitalists PA
• Clear Lake Inpatient Care PA
• Clear Lake Institute for Rehabilitation LLC (PAM Rehabilitation Hospital of Clear Lake)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.