Akhtar Eye Associates PLLC
Organization Active NPI Optometrist · Humble, TX
NPI 1104597343 · NPPES record last updated Oct 6, 2021
Key facts
- NPI
- 1104597343
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- AKHTAR EYE ASSOCIATES PLLC
- Practice address
- 3103 FM 1960 Rd W Ste V
Humble, TX 77338-3383 - Phone
- (281) 443-0340
- NPI assigned
- Sep 27, 2021
- Organization subpart
- No
Authorized official
- Name
- Dawn Richardson
- Title
- Insurance Specialist
- Phone
- (832) 381-4887
Practitioners 5
-
Waqar Gul Akhtar, O.D.
-
Mark R Richardson, O.D.
-
Walter M. Rosen, O.D.
-
Matthew Raymond Webb, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211006001951 | TX | Part B Supplier - Clinic/Group Practice | 6002214061 |
Receives reassigned benefits from 1 practitioner Practice locations: Humble, TX |
National Provider Directory
Locations
3103 FM 1960 Rd W
Ste V
Humble, TX 77338
Phone (281) 443-0340
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
3103 FM 1960 Rd W Ste V
Humble, TX 77338-3383
Mailing address
3103 FM 1960 Rd W Ste V
Humble, TX 77338-3383
Phone (281) 443-0340
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 413207801 | Medicaid | TX |
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.