Oculus Interest IX, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

OCULUS INTEREST IX, LLC

Practice address

11400 Gulf Fwy Ste H
Houston, TX 77034-3549

Phone

(832) 410-4501

Fax

(561) 828-8367

NPI assigned

May 22, 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 Manager

Phone

(616) 357-6146

Specialties & licenses 1

Addresses

Tax ID family

Oculus Interest IX LLC2 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 IX, LLC

  • Optometrist
  • Spring, TX
  • NPI 1710500020
  NPD tax ID

Locations

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1093338253",
    "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": "11400 GULF FWY STE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770343549",
            "telephone_number": "832-410-4501",
            "fax_number": "561-828-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULUS INTEREST IX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "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 MANAGER",
        "authorized_official_telephone_number": "616-357-6146"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Oconnor
• Terence D Oconnor, MD
• Octagos Health Inc.
• Octavio Calvillo M.D.,PH.D.
• Oculus Cypresswood, LLC
• Oculus Interest XII, LLC
• Oculus Interests XI, LLC
• Nicholas Yoshitaka Oda
• Esther Odaibo, PMHNP-BC
• Lisa Odaibo, M.D.

• Eyewear Supplier in Houston, TX
• Providers in Houston, 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.