Organization Active NPI

Mira Eyecare

  • Optometrist
  • Houston, TX
National Provider Identifier
1144644873
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6954TG Issued in TX
Legal business name
MIRA EYECARE
Practice address
5819 Gulf Fwy
Suite # 700
Houston, TX 77023-5352
Phone
(713) 926-6567
NPI assigned
Feb 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Dr. Louis Alberto Ramon, O.D.NPI 1902019839
Title
Optometrist
Phone
(713) 926-6567

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 MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 6954TG TX Primary

Addresses

Primary practice location

5819 Gulf Fwy
Suite # 700
Houston, TX 77023-5352

Mailing address

5819 Gulf Fwy
Suite # 700
Houston, TX 77023-5352
Phone (713) 926-6567

Other identifiers 2

IdentifierTypeStateIssuer
6954TGOtherTXSTATE LICENSE
211196501MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141023001841 TX Part B Supplier - Clinic/Group Practice 9436370012 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

5819 Gulf Fwy
Ste 700
Houston, TX 77023
Phone (713) 926-6567

Practitioners & affiliated clinicians

Practitioners 1

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": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1144644873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 GULF FWY",
            "address_2": "SUITE # 700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770235352",
            "telephone_number": "713-926-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5819 GULF FWY",
            "address_2": "SUITE # 700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770235352",
            "telephone_number": "713-926-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRA EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "RAMON",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "713-926-6567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6954TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6954TG",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211196501",
            "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 Oct 27, 2014; 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.