NPIMap

Organization Active NPI

Northline Tso PC

Doing business as Northline Texas State Optical

  • Optometrist
  • Houston, TX
National Provider Identifier
1134198518
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NORTHLINE TSO PC
Doing business as
Northline Texas State Optical
Practice address
4400 North Fwy
Suite B300
Houston, TX 77022-3604
Phone
(713) 697-2081
Fax
(713) 697-4339
NPI assigned
Mar 16, 2006
Last updated
Feb 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Thomas Ford
Title
HR Director
Phone
(713) 453-2972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

4400 North Fwy
Suite B300
Houston, TX 77022-3604

Mailing address

1250 Uvalde Rd
Houston, TX 77015-3708
Phone (713) 453-2972

Other identifiers 1

IdentifierTypeStateIssuer
1551392-01MedicaidTX

Other names 1

  • Northline Texas State Optical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1134198518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 UVALDE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153708",
            "telephone_number": "713-453-2972",
            "fax_number": "713-450-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 NORTH FWY",
            "address_2": "SUITE B300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770223604",
            "telephone_number": "713-697-2081",
            "fax_number": "713-697-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLINE TSO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "713-453-2972"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1551392-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northline Texas State Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 9, 2011; 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.