Organization Active NPI

Bellaire Optometry Clinic Inc

  • Optometrist
  • Houston, TX
National Provider Identifier
1104840628
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4111T Issued in TX
Legal business name
BELLAIRE OPTOMETRY CLINIC INC
Practice address
8282 Bellaire Blvd Ste 162
Houston, TX 77036-4032
Phone
(713) 774-3211
Fax
(713) 774-2130
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Dr. Anne Huyen Le, O.D.NPI 1568580637
Title
Optometrist/Owner
Phone
(713) 774-3211

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 4111T TX Primary

Addresses

Primary practice location

8282 Bellaire Blvd Ste 162
Houston, TX 77036-4032

Mailing address

8282 Bellaire Blvd.
Suite 162
Houston, TX 77036
Phone (713) 774-3211

Other identifiers 1

IdentifierTypeStateIssuer
082040901MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050628000424 TX Part B Supplier - Clinic/Group Practice 3678518834 Receives reassigned benefits from 4 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

10080 Bellaire Blvd
Ste 105
Houston, TX 77072
Phone (713) 774-3211

Practitioners & affiliated clinicians

Practitioners 4

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": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1104840628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8282 BELLAIRE BLVD.",
            "address_2": "SUITE 162",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77036",
            "telephone_number": "713-774-3211",
            "fax_number": "713-774-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8282 BELLAIRE BLVD STE 162",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364032",
            "telephone_number": "713-774-3211",
            "fax_number": "713-774-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLAIRE OPTOMETRY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "HUYEN",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "713-774-3211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4111T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082040901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.