Organization Active NPI

Akhtar Eye Associates PLLC

  • Optometrist
  • Humble, TX
National Provider Identifier
1104597343
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 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
Last updated
Oct 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Dawn Richardson
Title
Insurance Specialist
Phone
(832) 381-4887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

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 1

IdentifierTypeStateIssuer
413207801MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211006001951 TX Part B Supplier - Clinic/Group Practice 6002214061 Receives reassigned benefits from 1 practitioner
Practice locations: Humble, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1104597343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 FM 1960 RD W STE V",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383383",
            "telephone_number": "281-443-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 FM 1960 RD W STE V",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383383",
            "telephone_number": "281-443-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKHTAR EYE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-10-06",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "832-381-4887"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413207801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.