Organization Active NPI

Oculus Interests V, LLC

  • Eyewear Supplier
  • Spring, TX
National Provider Identifier
1124652243
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
OCULUS INTERESTS V, LLC
Practice address
20530 North Fwy Ste a
Spring, TX 77373-2903
Phone
(346) 380-2020
Fax
(561) 828-8367
NPI assigned
Feb 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Jackie Bennett
Title
Credentialing Supervisor
Phone
(561) 433-6009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

20530 North Fwy Ste a
Spring, TX 77373-2903

Mailing address

20530 Interstate 45 N Ste 2710
Spring, TX 77373-2900
Phone (346) 380-2020

Other names 1

  • Oculus Interests V, LLC, My Eye Lab - Spring Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oculus Interests V 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.

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1124652243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20530 INTERSTATE 45 N STE 2710",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773732900",
            "telephone_number": "346-380-2020",
            "fax_number": "561-828-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20530 NORTH FWY STE A",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773732903",
            "telephone_number": "346-380-2020",
            "fax_number": "561-828-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULUS INTERESTS V, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "561-433-6009"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oculus Interests V, LLC, My Eye Lab - Spring",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oculus Interests V, LLC, My Eye Lab - Spring",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.