Organization Active NPI

Jesus Vision LLC

Doing business as Texas Eye Center

  • Optometrist
  • Houston, TX
National Provider Identifier
1144757675
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8180TG Issued in TX
Legal business name
JESUS VISION LLC
Doing business as
Texas Eye Center
Practice address
11660 Westheimer Rd Ste 125
Houston, TX 77077-6798
Phone
(281) 752-4100
NPI assigned
May 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Bereket Haileab Tsegai, ODNPI 1649602962
Title
Optometrist
Phone
(713) 459-2754

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 8180TG TX Primary

Addresses

Primary practice location

11660 Westheimer Rd Ste 125
Houston, TX 77077-6798

Mailing address

11660 Westheimer Rd Ste 125
Houston, TX 77077-6798
Phone (281) 752-4100

Other names 1

  • Texas Eye Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170606001714 TX Part B Supplier - Clinic/Group Practice 2668749094 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

11660 Westheimer Rd
Ste 125
Houston, TX 77077
Phone (281) 752-4100

Practitioners & affiliated clinicians

Practitioners 2

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": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144757675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11660 WESTHEIMER RD STE 125",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776798",
            "telephone_number": "281-752-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 WESTHEIMER RD STE 125",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776798",
            "telephone_number": "281-752-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESUS VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TSEGAI",
        "authorized_official_first_name": "BEREKET",
        "authorized_official_middle_name": "HAILEAB",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "713-459-2754",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8180TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Eye Center",
            "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 Jul 21, 2022; 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.